高血压脑出血微创颅内血肿清除术

高血压脑出血微创颅内血肿清除术

目的探讨微创颅内血肿清除术在治疗高血压脑出血中的临床疗效。方法选取2010年1月—2014年1月该院收治的100例高血压脑出血患者为研究对象，所有病例均符合中华医学会第4届脑血管病学术会议所制订的相关诊断标准，将100例患者随机分为观察组和对照组各50例，对照组采用保守药物治疗，观察组采用微创颅内血肿清除术，对比两组患者的临床疗效、并发症发生情况及随访6个月生活质量。结果两组临床疗效对比，观察组疗效显著优于对照组（P＜0.05）。观察组共出现消化道出血3例，肺部感染6例，心脏改变3例，中枢性高热2例，并发症发生率为28.0%；对照组发生消化道出血7例，肺部感染12例，心脏改变5例，中枢性高热4例，并发症发生率为56.0%，组间比较观察组低于对照组，差异有统计学意义（P＜0.05）。观察组在生理职能（RP）、社会功能（SF）、生理功能（PF）、健康总体自评（GH）四个方面的评分均显著高于对照组（P＜0.05）。结论与内科保守治疗方式比较，微创颅内血肿清除术具有更好的临床疗效，有利于患者生活质量的恢复，同时具有更高的安全性。因此，可作为治疗高血压脑出血的最佳方法在临床进行推广试用。

[Abstract] Objective To observe the clinical effect of minimally invasive intracranial hematoma in treatment of hypertensive intracerebral hemorrhage patients. Methods 100 cases of hypertensive cerebral hemorrhage patients were selected as the research object in our hospital from January，2010 to January，2014. All the cases are in line with the Chinese Medical Association related diagnostic standard setting the fourth national academic meeting for cerebrovascular disease，100 patients were randomly divided into observation group and control group with 50 cases in each group，the control group was given the conservative drug treatment，the observation group was given minimally invasive intracranial hematoma. The clinical curative effect and complications incidence and follow-up of quality of life of 6 months were compared between the two groups. Results The clinical efficacy of two groups were compared，the effect of observation group was significantly better than the control group （P＜0.05）. The observation group there were three cases of digestive tract hemorrhage，pulmonary infection in six cases，cardiac changes in three cases，two cases of central high fever，the complication rate was 28%；the control group occurred in 7 cases of digestive tract hemorrhage，pulmonary infection in 12 cases，cardiac changes in 5 cases， 4 cases of central high fever，the incidence of complications was 56%，group comparison between observation group than in the control group，with significant difference （P＜0.05）. The observation group in physiological function（RP），social function（SF），the physiological function of overall health （PF），self rating （GH）four aspects of the scores were significantly higher than control group （P＜0.05）. Conclusion Compared with conservative treatment clinical department of internal medicine，invasive intracranial hematoma is better，which is conducive to the quality of life in patients with recovery，and it has higher security. Therefore，hypertensive cerebral hemorrhage were popularized in clinical tria as the best treatment method .[Key words] Hypertensive cerebral