张龙

【摘 要】目的：运用颅内血肿微创清除术治疗脑出血患者的应用价值研究。方法：选取2016年2月～2017年3月在我院确诊的脑出血患者67例，采用随机数字表法，将脑出血患者均分为两组，给予对照组33例患者实施保守治疗，观察组34例患者实施颅内血肿微创清除术。对两组患者的临床治疗效果、及治疗后的血肿量进行对比分析。结果：观察组34例患者的临床治疗效果为94.12%显著优于对照组临床治疗效果75.76%；观察组治疗后血肿量为（10.34±2.70）ml显著低于对照组（19.37±4.80）ml；两项指标对比，均差异显著（P<0.05），对比具有统计学意义。结论：运用颅内血肿微创清除术为脑出血患者进行治疗，具有较为理想的治疗效果，值得在临床加以应用和进行推广。

【关键词】脑出血；颅内血肿微创清除术；应用价值

[Abstract] Objective：To study the application value of minimally invasive removal of intracranial hematoma in the treatment of cerebral hemorrhage. Methods： 67 cases of intracerebral hemorrhage diagnosed in our hospital from February 2016 to March ～2017 were selected. The patients were randomly divided into two groups. The control group was treated with conservative treatment. 33 patients in the observation group were treated with minimally invasive evacuation of intracranial hematoma. 34 patients in the observation group were treated with conservative treatment. The clinical effect of two groups of patients and the amount of hematoma after treatment were compared and analyzed. Results： observe the clinical effect of the treatment group of 34 patients was significantly higher than 94.12% in the control group 75.76% clinical treatment； observation group after treatment， the hematoma volume is （10.34 + 2.70） ml was significantly lower than the control group （19.37 + 4.80） ml； two indicators comparison， were significantly different （P<0.05）， the ratio was statistically significant. Conclusion： the use of minimally invasive evacuation of intracranial hematoma for the treatment of intracerebral hemorrhage has an ideal therapeutic effect， which is worthy of clinical application and promotion.

[Key words] Intracerebral hemorrhage； minimally invasive removal of intracranial hematoma； application value

【中圖分类号】R473.6 【文献标识码】A 【文章编号】2095-6851（2018）01-0-01

脑出血是指非外伤导致、由脑内血管破裂而引发的出血状况[1]。发病原因多与高血压、糖尿病等疾病有关，发病对象多为50～70岁的老年群体、及具有长期吸烟史人群[2]。患者发病时，常感到剧烈头痛且伴有呕吐症状，发病早期具有极高的死亡率，为患者的生命安全带来极大威胁。对于该疾病的治疗方法，临床上分为两大类别，即保守疗法与手术疗法。本研究选取2016年2月～2017年3月在我院确诊的脑出血患者34例为其实施颅内血肿微创清除术，获得理想的治疗效果，具体报告如下。

1 资料与方法

1.1 临床研究资料

选取2016年2月～2017年3月在我院确诊的脑出血患者67例，将之作为此次研究对象。67例脑出血患者均符合脑出血的相关诊断标准，且经CT确诊，并征得患者及其家属同意。将67例脑出血患者应用随机数字表法，均分为两组，其中对照组33例，含男性患者16例，女性患者17例，患者年龄区间51～76岁，平均年龄（58.36±2.5）岁；……