超早期颅内血肿微创清除术治疗高血压脑出血效果分析

宋江莉

（富平县医院内二科，陕西 渭南，711700）

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摘要：

目的 探讨超早期颅内血肿清除术治疗高血压脑出血的临床效果。方法 选取我科2015年3月至2016年3月收治的高血压脑出血患者100例为研究对象，随机分为对照组和观察组，每组50例。对照组给予早期颅内微创血肿清除术治疗，观察组给予超早期颅内微创血肿清除术治疗，观察两组患者的治疗效果以及术后半个月和术后半年的格拉斯哥（GOS）预后评 分。结果 对照组预后良好率为70.00%，观察组预后良好率为80.00%，两组比较，差异具有统计学意义（P<0.05）；对照组术后半个月、术后半年的GOS评分均显著低于观察组，差异均具有统计学意义（P<0.05），并且两组术后半个月、术后半年的GOS的评分均较术前升高，差异具有统计学意义（P<0.05）。结论 超早期颅内血肿微创清除术治疗高血压脑出血具有良好的临床效果，值得在临床推广应用。

关键词：超早期；颅内血肿；高血压脑出血；微创清除术

中图分类号：R651.1文献标志码：A文章编号：2096-1413(2017)21-0050-02

Clinical effect of ultra-early invasive removal of intracranial hematoma in patients with hypertensive

intracerebral hemorrhage
SONG Jiang-li
(the Second Department of Internal Medicine, Fuping County Hospital, Weinan 714000, China)

ABSTRACT: Objective To investigate the clinical effect of ultra-early invasive removal of intracranial hematoma in the treatment of hypertensive intracerebral hemorrhage. Methods A total of 100 patients with hypertensive intracerebral hemorrhage admitted in our department from March 2015 to March 2016 were randomly divided into control group and observation group, with 50 cases in each group. The patients in the control group were treated with ultra-early invasive removal of intracranial hematoma, and the patients in the observation group were treated with early invasive removal of intracranial hematoma. The curative effect and prognosis (GOS) score of the half a month and half a year after operation were observed between the two groups. Results The favorable prognosis rate was 70.00% in the control group and 80.00% in the observation group, the difference was statistically significant (P<0.05). The GOS scores of the control group after half a month and half a year were lower than those of the observation group, the differences were statistically significant (P<0.05); and the GOS scores of the two groups after half a month and half a year were higher than those before treatment, the differences were statistically significant (P<0.05). Conclusion Ultra-early invasive removal of intracranial hematoma in the treatment of hypertensive intracerebral hemorrhage has a good clinical effect, it is worthy of clinical application.
KEYWORDS: ultra-early; intracranial hematoma; hypertensive intracerebral hemorrhage; minimally invasive surgery

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