摘要
目的回顾性分析小骨窗开颅术治疗高血压脑出血的治疗效果。方法将高血压脑出血患者按治疗方法分成小骨窗开颅术组和大骨瓣开颅术组,其中小骨窗开颅术组42例,大骨瓣开颅术组40例。治疗期间记录意识障碍恢复时间,并随访1个月,进行神经功能缺损程度评分。结果小骨窗开颅术组意识障碍恢复时间l^7d,神经功能缺损评分由40·52±0·85改善为8·65±0·2;大骨瓣开颅术组意识障碍恢复时间5~l5d,神经功能缺损评分由41·25±1·15改善为25·15±0·4。两组比较,意识障碍恢复时间及神经功能缺损程度评分差异有统计学意义(P<0·05)。结论小骨窗开颅术治疗高血压脑出血中等量患者意识障碍恢复时间早,神经功能缺损改善明显,是高血压脑出血治疗中值得广泛应用的一种方法。
Objective To review analysis the efect of small bone flap craniotomy operation on cerebral hemorrhage caused by hypertension. Methods Cerebral hemorhage patients caused by hypertension were divided into two groups：42 cases accepted small bone flap craniotomy（ small bone flap craniotomy group） ,40 cases accepted（ craniotomy group）. The time of consciousness restoration,disappearance of haematoma. After 1 month follow up. assessment of neural functional deficit was carried out. Results In small bone flap craniotomy operation group, the time of consciousness restoration was 1-7 days, assessment value of neural function deficits was from 40.52 ± 0.85 to 8.65 ± 0.2 ; while in craniotomy group, the time of consciousness restoration was 5-15 days. Assessment value of neural function deficit was from 41.25 ± 1.15 to 25.15± 0. 4. There were statistic diferences（P 〈 0.05） between 2 groups. Conclusion small bone flap craniotomy operation on cerebral hemorrhage of medium quantity caused by hypertension can shorten the time of consciousness restoration. It is improve the neural function deficits,and it is worth generalizing.
出处
《中国实用医药》
2008年第10期33-34,共2页
China Practical Medicine
关键词
小骨窗开颅术
开颅手术
高血压性
脑出血
Small bone flap craniotomy
Craniotomy
Hypertensive
Cerebral hemorhage
