摘要
目的探讨急性期高血压脑出血患者不同手术时机与其预后的关系。方法选取2012年5月至2015年4月我院接收的行小骨窗开颅血肿清除术的102例急性期高血压脑出血患者为本次研究对象，从手术时机出发，将其随机分为A组（手术时机：出血后≤6h时）、B组（手术时机：6-24h）、c组（手术时机：〉24h），对比三组患者预后优良率及并发症发生率。结果A组预后良好率（88．24％VS．67．65％、61．77％）较B、c组高，且并发症发生率（14．70％VS．44．10％、49．99％）较B、C组低，差异有统计学意义（P〈0．05）。结论急性期高血压脑出血患者尽可能在发病6h内（包括6h）接受手术治疗，对改善患者预后、降低并发症发生率具有十分重要的作用，临床须引起足够重视。
Objective To explore the relationship between different timing of operation and prognosis of patients with acute hypertensive cerebral hemorrhage. Methods 102 patients with hypertensive cerebral hemorrhage admitted into our hospital from May, 2012 to April, 2015 and who received small bone flap craniotomy were selected as study objects and were randomly divided into group A （operation timing： less than 6 h after hemorrhage）, group B （operation timing： 6 - 24 h）, and group C （operation timing： more than 24 h）. The excellent and good rate of prognosis and the incidence of complications were compared between these three groups. Results The excellent and good prognosis rate of group A was higher than those of group B and C （88.24% vs. 67.65% and 61.77%）; the incidence of complications was lower in group A than in group B and C （14.70% vs. 44.10% and 49.99%）; with statistical difference （P 〈 0.05）. Conclusions Patients with acute hypertensive cerebral hemorrhage should receive treatment within 6 h （including 6 h） after the attack as much as possible, which is very important for improving prognosis and reducing the incidence of complications.
出处
《国际医药卫生导报》
2015年第15期2159-2161,共3页
International Medicine and Health Guidance News
关键词
急性期
高血压脑出血
手术时机
预后
影响
Acute stage
Hypertensive cerebral hemorrhage
Operative timing
Prognosis
Influence
