显微镜下血肿清除术与常规开颅术治疗高血压脑出血患者的治疗效果对比

Comparison of Therapeutic Effects Between Microscopic Hematoma Removal and Conventional Craniotomy for Hypertensive Cerebral Hemorrhage Patients

目的:比较分析显微镜下血肿清除术与常规开颅术治疗高血压脑出血患者的治疗效果。方法:将在本院接受治疗的高血压脑出血患者56例纳入试验,先入院28例患者给予常规开颅手术,并视为对照组,后入院的28例患者给予显微镜下血肿清除术,并视为观察组,记录两组患者手术相关指标,评估日常生活能力,对比临床疗效。结果:观察组手术时间、术中出血量及住院时间均优于对照组(P<0.05);观察组Ⅰ~Ⅲ级日常生活能力显著优于对照组(P<0.05)。结论:相比于常规开颅术,显微镜下血肿清除术治疗高血压脑出血患者的疗效更佳,可大大缩短手术时间,减少术中出血,加快病情恢复,提高日常生活能力。

Objective:To compare and analyze the therapeutic effects of microscopic hematoma removal and conventional craniotomy on hypertensive cerebral hemorrhage patients.Methods:56 patients with hypertensive cerebral hemorrhage treated in our hospital were included in the experiment.28 patients admitted to hospital were treated with conventional craniotomy and regarded as control group,while 28 patients admitted to hospital were treated with microscopic hematoma removal and regarded as observation group.The operation related indexes of the two groups were recorded,daily living ability was evaluated,and clinical efficacy was compared.Results:The operation time,intraoperative blood loss and hospitalization time of the observation group were better than those of the control group(P<0.05).The ability of daily living of gradeⅠ-Ⅲin observation group was significantly better than that in control group(P<0.05).Conclusion:Compared with conventional craniotomy,microscopic hematoma removal is more effective in the treatment of hypertensive cerebral hemorrhage patients,which can greatly shorten the operation time,reduce intraoperative hemorrhage,accelerate the recovery of the disease and improve the ability of daily living.