重症高血压脑出血手术治疗时机及方式临床分析

Clinical Analysis of surgical treatment time and mode for severe hypertensive intracerebral hemorrhage

目的研究并分析重症高血压脑出血手术不同治疗时机及手术方法对患者预后的影响。方法选取2014年2月至2016年2月期间于我院诊治的84例重症高血压脑出血患者作为研究对象,回顾性分析84例患者的病例资料,根据手术治疗时机的不同,将患者分为甲组、乙组、丙组,甲组患者均于脑出血发生7h内实施手术,乙组患者均于脑出血发生7-24h间实施手术,丙组患者则均于脑出血发生24h后实施手术,所有患者均根据其脑出血量、出血部位等具体病情,选择针对性的手术方法治疗。术后比较治疗效果。结果甲组患者预后明显优于乙、丙两组患者预后,乙组患者预后明显优于丙组患者预后,组间数据差异显著,P<0.05,有统计学意义。结论为改善重症高血压脑出血患者预后,应于7h内实施手术,并需根据患者具体病情,选择最佳的手术治疗方案。

Objective To study and analyze effect of different surgical timing and surgical methods on prognosis of severe hypertensive intracerebral hemorrhage patients. Methods Choose 84 cases severe hypertensive cerebral hemorrhage patients treated in our hospital from February 2014 to February 2016 as research objects, review and anlyze their clinical data, according to different surgical timing, divide them into group A, B and C. Group A was treated with surgery 7h after cerebral hemorrhage, and group B with surgery 7-24 h after cerebral hemorrhage, group C with surgery 24 h after cerebral hemorrhage. According to hemorrhage amount, bleeding site and other specific conditions, choose targeted surgical treatment methods for all patients. Compare curative effect after operation. Results Prognosis of group A was better than group B and C, prognosis of group B was significantly better than group C, data difference showed statistical significance between groups, P<0.05. Conclusion In order to improve prognosis of severe hypertensive intracerebral hemorrhage patients, operation should be performed within 7h, and choose the best surgical treatment based no specific condition of patients.