摘要
目的探究不同时机行微创血肿清除术治疗高血压脑出血的临床效果。方法选取2018年1月至2019年1月于重庆市合川区人民医院接受诊断治疗的高血压脑出血患者80例,将患者进行分为两组,每组40例。两组患者均接受微创血肿清除术,A组患者接受手术的时间为出血后6 h内,B组接受手术的时间为出血后6~24 h。结果A组中19例(47.50%)患者治疗效果为优,16例(40.00%)为良,5例(12.50%)为中;B组中有13例(32.50%)患者治疗效果为优,15例(37.50%)为良,9例(22.50%)为中,3例(7.50%)为差。A组手术治疗优良率(87.50%)显著高于B组手术治疗优良率(70.00%,P<0.05)。A组患者术后3个月ADL评分(45.55±10.00)、术后6个月ADL评分(57.41±10.62),显著高于与B组(35.27±7.97、41.12±7.60,P<0.05)。结论高血压脑出血患者在6 h内接受微创血肿清除术治疗效果较为理想,可有效降低血肿对脑组织造成的伤害。
Objective To explore the clinical effect of minimally invasive hematoma removal at different times in the treatment of hypertensive cerebral hemorrhage.Methods Eighty patients with hypertensive cerebral hemorrhage who received diagnosis and treatment in our hospital from January 2018 to January 2019 were selected as subjects in this study,and divided into two groups with 40 cases in each group.The patients in group A were operated within 6 h after bleeding,while those in group B were operated from 6 to 24 h after bleeding.Results Among group A,19(47.50%)patients had excellent therapeutic effect,16(40.00%)patients had good therapeutic effect,and 5(12.50%)patients had medium therapeutic effect.In group B,13(32.50%)patients had excellent therapeutic effect,15(37.50%)patients had good therapeutic effect,9(22.50%)patients had medium therapeutic effect,and 3(7.50%)patients had poor therapeutic effect.The excellent and good rate of surgical treatment in group A(87.50%)was significantly higher than that in group B(70.00%).There were significant differences between group A patients'ADL scores at 3 months after surgery(45.55±10.00),6 months after surgery(57.41±10.62),significantly higher than those of the group B(35.27±7.97 and 41.12±7.60,respectively;P<0.05).Conclusion Patients with hypertensive intracerebral hemorrhage treated with minimally invasive hematoma removal within 6 h can effectively reduce the damage caused by hematoma to brain tissue.
作者
贾孝军
JIA Xiaojun(Hechuan District People's Hospital,Hechuan,Chongqing 401520,China)
出处
《大医生》
2019年第9期71-72,共2页
Doctor
关键词
不同时机
微创血肿清除术
高血压脑出血
临床效果
different timing
Minimally invasive hematoma removal
hypertensive cerebral hemorrhage
clinical effect
