脑外科手术治疗高血压脑出血临床疗效分析

钱晓波，刘惠祥，沈鸟松，蒋锋江苏省张家港市第一人民医院神经外科，江苏张家港215600

[摘要]目的探析脑外科手术治疗高血压脑出血临床疗效。方法随机选择该院神经外科2013年1月—2014年12月收取并予以治疗的70例高血压脑出血患者，将其随机分为实验组35例，对照组35例。治疗时，对照组病患以立体定向颅内血肿穿刺抽吸引流术为主要方案开展救治活动，而实验组病患则以小骨窗开颅手术为主要方案开展救治活动，同时观察2组患者救治有效性。结果实验组病患治疗7 d以后，其血肿体积是（19.02±9.98）mL，治疗14 d以后，其血肿体积是（11.55±7.93）mL。同时，实验组出现1例并发症，占2.86%，对照组有9例，占25.71%，两组比较差异有统计学意义（P＜0.05）；治疗后，实验组26例（74.26%）病患生活能力达到一级标准，7例（20.00%）达到二级标准，2例（5.71%）达到三级标准，比对照组更具优势，两组比较差异有统计学意义（P＜0.05）。结论基于高血压脑出血病患而言，以小骨窗开颅手术为主要方案开展救治活动有助于改善病患临床指征和控制其血肿体积，同时还能改善病患生活能力，可推广。

[关键词]高血压脑出血；外科手术治疗；效果

[中图分类号]R651.1

[文献标识码]A

[文章编号]1674-0742（2015）10（a）－0106-03

[作者简介]钱晓波（1983-），男，江苏张家港人，硕士，主治医师，研究方向：神经外科。

[通讯作者]蒋锋（1971.2-），男，江苏张家港人，本科，主任医师，研究方向：神经外科。

Abstract[]Objective To analyze the clinical efficacy of surgical treatment for hypertensive intracerebral hemorrhage.Methods 70 patients with hypertensive intracerebral hemorrhage admitted to and treated in the Department of Neurosurgery in this hospital between January 2013 and December 2014 were included and randomized to undergo stereotaxic punction and aspiration of hematoma (the control group, n=35) and small bone window craniotomy (the observation group, n=35).The clinical effective rate of the two groups was observed.Results The hematoma volume was (19.02±9.98) mL and (11.55±7.93) mL 7d and 14d after treatment respectively in the observation group; 1 case of complication was found in the observation group, accounting for 2.86%, and 9 in the control group, accounting for 25.71%, and the difference was statistically significant between the two groups, P＜0.05; after treatment, 26 patients（74.26%）obtained Grade I in quality of life, and 7（20.00%）obtained Grade II, 2（5.71%）obtained Grade III in the observation group, superior to those in the control group, and the difference was statistically significant,（P＜0.05）.Conclusion Small bone window craniotomy is worthy of promotion in the treatment of patients with hypertensive intracerebral hemorrhage because it can improve clinical indications and control hematoma volume while improving their life ability.

收稿日期：（2015-07-05）

Clinical Analysis of Efficacy of Surgical Treatment of Hypertensive Intracerebral Hemorrhage

QIAO Xiao-bo, LIU Hui-xiang, SHEN Niao-song, JIANG Feng

Department of Neurosurgery, First People's Hospital of Zhangjiagang City, Zhangjiagang, Jiangsu Province, 215600 China

[Key words]Hypertensive intracerebral hemorrhage; Surgical treatment; Effect

高血压脑出血本身属于高发性病症，在心脑血管类疾病中占有较大比例，不仅发病率非常的高，而且其发病机制呈现出复杂性特征，通常以小脑、壳核、脑干以及丘脑等器官为好发地，且会对机体中枢神经带来一定影响，在拖延救治时间的情况下还可能会诱发微动脉瘤等并发症，所以引起了大范围关注[1]。……