超早期小骨窗开颅脑出血清除术治疗高血压脑出血的临床效果分析

Clinical Effect Analysis of Ultra-early Small Bone Window Craniotomy to Clear Cerebral Hemorrhage for Hypertensive Cerebral Hemorrhage

目的分析超早期小骨窗开颅脑出血清除术治疗高血压脑出血的临床效果。方法纳入98例高血压脑出血患者,按照随机抽样法分为对照组与研究组,每组49例,研究组给予超早期(<6 h)小骨窗开颅脑出血清除术治疗,对照组给予早期(6 h~12 h)小骨窗开颅脑出血清除术治疗,对比两组治疗效果。结果治疗后,研究组的术后再出血率、神经功能缺损评分、术后并发症与对照组相比明显降低,日常生活能力评分、临床疗效、血肿清除率与对照组相比明显提升,手术时间、住院时间、血肿吸收时间与对照组相比明显缩短,差异均有显著性(P<0.05)。结论高血压脑出血患者在超早期(<6 h)给予小骨窗开颅脑出血清除术治疗可明显提升患者的临床疗效。

Objective To analyze the clinical effect of ultra-early small bone window craniotomy to clear cerebral hemorrhage in the treatment of hypertensive cerebral hemorrhage.Methods Ninety-eight patients with hypertensive cerebral hemorrhage were enrolled and divided into the control group and the study group according to random sampling,each with 49 cases.The study group was treated with ultra-early(<6 hours)small bone window craniotomy to clear the brain hemorrhage,and the control group was given early(6-12 hours)small bone window craniotomy to clear the brain hemorrhage was treated,and the therapeutic effects of the two groups were compared.Results After treatment,the postoperative rebleeding rate,neurological deficit score,and postoperative complications of the study group were significantly reduced compared with the control group,and the daily living ability score,clinical efficacy,and hematoma clearance rate were significantly improved compared with the control group,the time,hospitalization time,and hematoma absorption time were significantly shorter than those in the control group,and the difference was significant(P<0.05).Conclusion Patients with hypertensive intracerebral hemorrhage can be treated with small bone window craniotomy in the ultra-early period(<6 hours),which can significantly improve the clinical efficacy of the patients.