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1、微创颅内血肿清除术治疗高血压脑出血疗效观察[摘要]目的观察微创颅内血肿清除术治疗高血压脑出血(HICH)的临床效果,探讨最佳的临床术式。方法选择已确诊的HICH患者48例,并随机分为观察组和对照组,每组各24例,其中观察组采用微创颅内血肿清除术治疗,对照组采用内科保守治疗,观察并比较两组患者术后的临床效果。结果观察组的总有效率为79.2%,明显高于对照组的54.2%,两组比较差异有统计学意义(P<0.05);观察组重残发生率为20.0%,明显低于对照组的30.8%,两组比较差异有统计学意义(P<0.05)o结论微创颅内血肿清
2、除术能快速清除血肿,降低颅内压、病死率及致残率,减轻脑水肿,近期疗效确切,促进患者意识恢复,是治疗HICH的最佳方法。[关键词]高血压脑出血;微创颅内血肿清除术;临床疗效[中图分类号]R651.11[文献标识码]A[文章编号]1673-7210(2012)07(c)-0041-03TheobservationofthecurativeeffectonminilogicevacuationofintracranialhematomatreatmentforhypertensiveintracerebralhemorrhageY
3、UYuxingLUOBiaoCHENWeishiDepartmentofNeurosuTgerySursery,thePeople7sHospitalofTaishanCity,GuangdongProvince,Taishan529200,China[Abstroct]ObjectiveToobservetheclinicaleffectontheminilogicevacuationofintracranialhematomatreatmentforhypertensiveintracerebralhemorrhage,
4、todiscussthebestmodusoperandiintheclinicaLMethods48patientswithhypertensiveintracerebralhemorrhage,whowerediagnosed,werechosenandrandomlydividedintoobservationgroupandcontrolgroup,eachgrouphad24cases,theobservationgroupwastreatedbytheminilogicevacuationofintracrani
5、alhematoma,andthecontrolgroupwastreatedbytheexpectanttreatment,thecurativeeffectsoftwogroupsaftersurgerywereobserved.ResultsThetotaleffectiverateoftheobservationgroupwas79.2%,whichwashigherthanthecontrolgroupfor54.2%,therewasdifferentstatisticalsignificancebetweent
6、wogroups(P<0.05)・Theincidencerateofgiantmaimerintheobservationgroupwas20.0%,whichwaslowerthanthecontrolgroupfor30.8%,therewasdifferentstatisticalsignificancebetweentwogroups(P<0.05).ConclusionTheminilogicevacuationofintracranialhematomacancleanupthehaematoma,reduce
7、theintracranialpressurecasefatalityrateandcripplingrate,andabatethehydrocephalus,reliablecurativeeffectintherecentperiod,andcanacceleratethepatient'sconsciousness,itisabestwaytotreattheHICH.[Keywords]Hypertensiveintracerebralhemorrhage;Minilogicevacuationofintracra
8、nialhematoma;Curativeeffect高血压脑出血(hypertensiveintracerebralhemorrhage,HICH)是急性脑血管病中致残率及死亡率最高的一种自发性脑出血[1],是高血压伴脑小动脉瘤、血压骤升使动脉破裂所致[2]。HICH患者在出血后24h之