小骨窗开颅手术治疗高血压脑出血患者的临床效果(1)
[摘要]目的 探讨小骨窗开颅手术治疗高血压脑出血患者的临床效果。方法 选取2017年7月～2019年4月我院收治的82例高血压脑出血患者作为研究对象，根据数字奇偶法分为对照组(n=41)及实验组(n=41)。对照组患者采用传统手术方案，实验组患者采用小骨窗开颅手术方案。比较两组患者的总有效率、生活质量评分、术中失血量、切口长度、手术时长及住院时长。结果 实验组患者的治疗总有效率(97.56%)高于对照组(80.49%)，差异有统计学意义(P<0.05);实验组患者的认知功能、躯体功能、社会能力及角色功能评分均高于对照组，差异有统计学意义(P<0.05);实验组患者的术中失血量少于对照组，切口长度、手术时长以及住院时长均短于对照组，差异有统计学意义(P<0.05)。结论 高血压脑出血患者采用小骨窗开颅手术治疗，可以提高患者的治疗总有效率，改善患者的生活质量以及手术相关指标，促进患者生活能力的恢复及早期转归，值得临床推广应用。
[关键词]小骨窗开颅手术;高血压脑出血;临床效果;生活能力
[中图分类号] R739 [文献标识码] A [文章编号] 1674-4721(2020)4(a)-0053-03
[Abstract] Objective To explore the clinical effect of small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage. Methods A total of 82 patients with hypertensive cerebral hemorrhage treated in our hospital from July 2017 to April 2019 were selected as the subjects， and divided into control group (n=41) and experimental group (n=41) by digital parity method. The control group used the traditional operation scheme， and the experimental group used the small bone window craniotomy scheme. The total effective rate， quality of life score， intraoperative blood loss， incision length， operation time and hospitalization time between the two groups were compared. Results The total effective rate of the experimental group (97.56%) was higher than that of the control group (80.49%)， with statistical significance (P<0.05). The scores of cognitive function， physical function， social ability and role function in the experimental group were higher than those in the control group， the differences were statistically significant (P<0.05). The intraoperative blood loss of the experimental group was less than that of the control group， and the incision length， operation time and hospitalization time of the experimental group were shorter than that of the control group， the differences were statistically significant (P<0.05). Conclusion Small bone window craniotomy can improve the total effective rate of patients with hypertensive cerebral hemorrhage， improve the patients′ quality of life and operation related indicators， and promote the recovery and early outcome of patients′ living ability. It is worthy of clinical application.
[Key words] Small bone window craniotomy; Hypertensive cerebral hemorrhage; Clinical effect; Life ability
高血壓脑出血患者的残疾率以及发病率均具有显著性特点，就其疾病特点进行分析，主要体现为病情严重、发病急以及病程长几个方面，因此，拟定有效方案完成高血压脑出血疾病的针对性治疗，意义显著[1-2]。其治疗主要包括保守治疗以及手术治疗，其中保守治疗即使不会对患者产生系列损伤，但是却表现出较低的血肿清除率，无法获得理想效果;在此情形下，手术方案的拟定与应用价值显著[3-4]。本研究选取我院收治的82例高血压脑出血患者作为研究对象，旨在探讨小骨窗开颅手术治疗高血压脑出血患者的临床效果，现报道如下。, 百拇医药(黄昊 刘坤 周丹)
[关键词]小骨窗开颅手术;高血压脑出血;临床效果;生活能力
[中图分类号] R739 [文献标识码] A [文章编号] 1674-4721(2020)4(a)-0053-03
[Abstract] Objective To explore the clinical effect of small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage. Methods A total of 82 patients with hypertensive cerebral hemorrhage treated in our hospital from July 2017 to April 2019 were selected as the subjects， and divided into control group (n=41) and experimental group (n=41) by digital parity method. The control group used the traditional operation scheme， and the experimental group used the small bone window craniotomy scheme. The total effective rate， quality of life score， intraoperative blood loss， incision length， operation time and hospitalization time between the two groups were compared. Results The total effective rate of the experimental group (97.56%) was higher than that of the control group (80.49%)， with statistical significance (P<0.05). The scores of cognitive function， physical function， social ability and role function in the experimental group were higher than those in the control group， the differences were statistically significant (P<0.05). The intraoperative blood loss of the experimental group was less than that of the control group， and the incision length， operation time and hospitalization time of the experimental group were shorter than that of the control group， the differences were statistically significant (P<0.05). Conclusion Small bone window craniotomy can improve the total effective rate of patients with hypertensive cerebral hemorrhage， improve the patients′ quality of life and operation related indicators， and promote the recovery and early outcome of patients′ living ability. It is worthy of clinical application.
[Key words] Small bone window craniotomy; Hypertensive cerebral hemorrhage; Clinical effect; Life ability
高血壓脑出血患者的残疾率以及发病率均具有显著性特点，就其疾病特点进行分析，主要体现为病情严重、发病急以及病程长几个方面，因此，拟定有效方案完成高血压脑出血疾病的针对性治疗，意义显著[1-2]。其治疗主要包括保守治疗以及手术治疗，其中保守治疗即使不会对患者产生系列损伤，但是却表现出较低的血肿清除率，无法获得理想效果;在此情形下，手术方案的拟定与应用价值显著[3-4]。本研究选取我院收治的82例高血压脑出血患者作为研究对象，旨在探讨小骨窗开颅手术治疗高血压脑出血患者的临床效果，现报道如下。, 百拇医药(黄昊 刘坤 周丹)
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