摘要
目的比较微创抽吸与开骨窗血肿清除术对高血压脑出血患者的治疗效果。方法将96例高血压脑出血患者随机分为两组，观察组54例采用微创抽吸治疗，对照组42例采用开骨窗血肿清除术治疗。比较两组患者术后日常生活活动能力和近、远期疗效。结果观察组治疗后患者按ADL分级治疗良好率为94．4％，对照组为81％，两组比较差异有统计学意义（P〈0．05）。观察组近期预后良好率为85．2％，对照组为76．2％，两组比较差异有统计学意义（P〈0．05）。观察组远期预后良好率为80％，对照组为66．7％，两组比较差异有统计学意义（P〈0．05）。结论微创抽吸对高血压脑出血的效果好于开骨窗血肿清除术。
Objective To study the effectiveness of minimally invasive suction and open bone window hematoma evacuation on patients with hypertensive intracerebral hemorrhage. Methods Ninety- six patients with hypertensive intracerebral hemorrhage were randomly divided into two groups, the control group（n = 42 cases） and the observation group （n = 54 cases）. The patients in the observation group were operated through minimally invasive suction, while the patients in the control group were operated through open bone window hematoma evacuation. The activities of daily living （ADL） and close, long- term efficacy were analyzed. Results The good rates in ADL were 94. 4% in the observation group and 81% in the control group. There was significant difference between the two groups （P 〈 0. 05 ）. The good rate of short-term efficacy was 85.2% in the observation group and 76. 2% in the control group. There was significant difference between the two groups （P 〈 0. 05 ）. The good rates of long-term effica- cy were 80% in the observation group and 66. 7% in the control group. There was significant difference between the two groups （P 〈 0. 05 ）. Conclusions Minimally invasive suction was better than open bone window hematoma evacuation in treatment of patients with hypertensive intracerebral hemorrhage.
出处
《中国实用医刊》
2013年第13期65-67,共3页
Chinese Journal of Practical Medicine
关键词
高血压
脑出血
微创抽吸
疗效
Hypertension
Intracerebral hemorrhage
Minimally invasive suction
Efficacy
