微创穿刺术与小骨窗开颅术治疗高血压脑出血疗效和并发症比较分析(1)
摘要：目的 比較分析微创穿刺术与小骨窗开颅术治疗高血压脑出血的疗效及严重并发症的发生率，为临床预防及治疗提供科学的依据。方法 随机将110例分成采用微创穿刺术高血压脑出血55例患者作为治疗组，对照组为55例高血压脑出血采用小骨窗开颅术者，对其疗效及严重并发症进行比较分析。结果 治疗组患者平均住院时间短于对照组，治疗组患者总有效率比对照组高，而治疗组患者死亡率比对照组低，差异有统计学意义(P<0.05)；治疗组患者再出血发生率低于对照组，差异有统计学意义(P<0.01)；治疗组患者继发性癫痫发生率低于对照组，差异有统计学意义(P<0.05)；治疗3个月时ADL达自理水平的良好状态者两组有统计学意义(P<0.05)；两组患者发病年龄、患者NIHSS评分术前术后无统计学意义，两组患者发生肺部感染、肾功能衰竭、多脏器功能衰竭、消化道出血、脑心综合征、水电解质紊乱等严重并发症无统计学意义(P>0.05)。结论 微创穿刺术治疗高血压脑出血优于小骨窗开颅术。
关键词：高血压脑出血；微创穿刺术；小骨窗开颅术；疗效；并发症
, http://www.100md.com
Comparison of Minimally Invasive Puncture and Small Bone Window Craniotomy in the Treatment of Hypertensive Intracerebral Hemorrhage
YANG Yong-hong，ZHAO Wang，HE Xue-nong
(Department of Neurology，Affiliated Yongchuan Hospital，Chongqing Medical University，Chongqing 402160，China)
Abstract：Objective To compare the efficacy and complications of minimally invasive puncture and small bone window craniotomy in treatment of hypertensive cerebral hemorrhage incidence and provide scientific basis for clinical prevention and treatment.Methods 110 patients were randomly divided into the minimally invasive surgery of 55 cases of hypertensive cerebral hemorrhage patients as treatment group，the control group was 55 cases with small bone window craniotomy hypertensive cerebral hemorrhage，comparing its curative effect and serious complications.Results Patients in the treatment group，the average hospitalization time was shorter than the control group，the total effective rate in treatment group than the control group， while the patients in the treatment group mortality rate lower than the control group，the difference was statistically significant(P<0.05)；the treatment group of patients with rebleeding the incidence rate is lower than the control group，the difference was statistically significant(P<0.01)；patients in the treatment group the incidence of secondary epilepsy is lower than the control group，the difference was statistically significant(P<0.05)；good condition for 3 months when ADL reached the level of take care of the two groups had statistical significance(P<0.05)；two groups of patients with age of onset， the NIHSS scores of the patients before and after surgery was not statistically significant，pulmonary infection occurred in two patients，renal failure， multiple organ failure，gastrointestinal bleeding，brain heart comprehensive syndrome，water electrolyte disorders such as severe complications had no statistical significance(P>0.05).Conclusion Minimally invasive puncture in the treatment of hypertensive cerebral hemorrhage is better than small bone window craniotomy., http://www.100md.com(杨永红 赵旺 贺学农)
关键词：高血压脑出血；微创穿刺术；小骨窗开颅术；疗效；并发症
, http://www.100md.com
Comparison of Minimally Invasive Puncture and Small Bone Window Craniotomy in the Treatment of Hypertensive Intracerebral Hemorrhage
YANG Yong-hong，ZHAO Wang，HE Xue-nong
(Department of Neurology，Affiliated Yongchuan Hospital，Chongqing Medical University，Chongqing 402160，China)
Abstract：Objective To compare the efficacy and complications of minimally invasive puncture and small bone window craniotomy in treatment of hypertensive cerebral hemorrhage incidence and provide scientific basis for clinical prevention and treatment.Methods 110 patients were randomly divided into the minimally invasive surgery of 55 cases of hypertensive cerebral hemorrhage patients as treatment group，the control group was 55 cases with small bone window craniotomy hypertensive cerebral hemorrhage，comparing its curative effect and serious complications.Results Patients in the treatment group，the average hospitalization time was shorter than the control group，the total effective rate in treatment group than the control group， while the patients in the treatment group mortality rate lower than the control group，the difference was statistically significant(P<0.05)；the treatment group of patients with rebleeding the incidence rate is lower than the control group，the difference was statistically significant(P<0.01)；patients in the treatment group the incidence of secondary epilepsy is lower than the control group，the difference was statistically significant(P<0.05)；good condition for 3 months when ADL reached the level of take care of the two groups had statistical significance(P<0.05)；two groups of patients with age of onset， the NIHSS scores of the patients before and after surgery was not statistically significant，pulmonary infection occurred in two patients，renal failure， multiple organ failure，gastrointestinal bleeding，brain heart comprehensive syndrome，water electrolyte disorders such as severe complications had no statistical significance(P>0.05).Conclusion Minimally invasive puncture in the treatment of hypertensive cerebral hemorrhage is better than small bone window craniotomy., http://www.100md.com(杨永红 赵旺 贺学农)
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