开颅血肿清除术和钻孔引流术治疗中等量基底核区高血压脑出血的临床疗效观察(1)
【摘 要】目的：研究中等量基底核区高血压脑出血患者采取开颅血肿清除术与钻孔引流术的价值。方法：选择我院2017年6月-2018年1月纳入的94例中等量基底核区高血压脑出血患者，按照数字表法随机分为两组各47例，A组采取钻孔引流术，B组采取开颅血肿清除术，对比两组治疗结果。结果：A组手术、住院时间及出血量低于B组(P<0.05)；治疗前两组NIHSS、ADL评分相比差异无显著性(P>0.05)，治疗后均明显改善，但A组各项评分與B组差异无显著性(P>0.05)；A组并发症发生率10.64%与B组6.38%相比差异无显著性(P>0.05)。结论：开颅血肿清除术与钻孔引流术在中等量基底核区高血压脑出血中均具有一定价值，可有效改善病情，提高生活能力，但后者手术及住院时间较短，出血量更低。
【关键词】钻孔引流术；基底核区高血压脑出血；开颅血肿清除术
Effect observation of craniotomy and burr hole drainage for patients with moderate-volume hypertensive cerebral hemorrhage in the basal ganglia region
, http://www.100md.com
SUN De-ke (Neurosurgery department of linyi central hospital276400)
Abstract：Objective To study the clinical value of craniotomy and burr hole drainage for patients with moderate-volume hypertensive cerebral hemorrhage in the basal ganglia region. Methods： 94 patients with moderate-volume hypertensive cerebral hemorrhage in the basal ganglia region treated from June 2017 to January 2018 in our hospital were selected and randomly assigned to two groups， 47 cases each group. Group A was treated with burr hole drainage； Group B was treated with craniotomy for hematoma evacuation. The therapeutic effect was compared. Results： The operation time， hospitalization time and bleeding volume in Group A were reduced， with statistical difference among groups (P<0.05)； before surgery， the NIHSS ((National Institute of Health stroke scale)and ADL (activity of daily living)scores showed no statistical difference among groups (P>0.05)； after surgery， the related scores for two groups were improved， but there were no statistical difference between Group A and Group B (P>0.05)； the incidence rate of complications in Group A and Group B was 10.64% and 6.38%， without statistical difference (P>0.05).Conclusion： Both of the craniotomy and burr hole drainage has its effect in moderate-volume hypertensive cerebral hemorrhage， can efficiently improve the illness conditions and increase the living ability. However， the later method can shorten the operation time and hospitalization time， and reduce the bleeding volume.
, 百拇医药
Key words： burr hole drainage； hypertensive cerebral hemorrhage in the basal ganglia region； craniotomy for hematoma evacuation
【中图分类号】R47 【文献标识码】A 【文章编号】1005-0019(2018)15-00-01
高血压脑出血属于脑血管疾病中致残率、病死率较高的疾病，临床通常采取手术进行治疗，但不同手术可能产生不同治疗效果，其中钻孔引流术、开颅血肿清除术被广泛应用于临床，均获得了一定治疗价值[1]。我院展开研究，探讨两种手术方式应用于中等量基底核区高血压脑出血中的价值，现作出如下报道：
1 资料与方法
1.1 一般资料
择我院2017年6月-2018年1月纳入的94例中等量基底核区高血压脑出血患者，按照数字表法随机分为两组各47例。A组男22例，女25例，年龄43-65岁，平均年龄(56.2±1.2)岁，脑出血量26-45ml。平均(40.5±2.6)ml；B组男23例，女24例，年龄44-65岁，平均年龄(56.7±1.3)岁，脑出血量25-45ml，平均(40.9±2.7)ml。两组基本资料无显著性差异(P>0.05)。均符合基底核区高血压脑出血的临床诊断标准，并处于稳定期；患者及家属均签署知情同意书，并自愿加入本次研究。, 百拇医药(孙德科)
【关键词】钻孔引流术；基底核区高血压脑出血；开颅血肿清除术
Effect observation of craniotomy and burr hole drainage for patients with moderate-volume hypertensive cerebral hemorrhage in the basal ganglia region
, http://www.100md.com
SUN De-ke (Neurosurgery department of linyi central hospital276400)
Abstract：Objective To study the clinical value of craniotomy and burr hole drainage for patients with moderate-volume hypertensive cerebral hemorrhage in the basal ganglia region. Methods： 94 patients with moderate-volume hypertensive cerebral hemorrhage in the basal ganglia region treated from June 2017 to January 2018 in our hospital were selected and randomly assigned to two groups， 47 cases each group. Group A was treated with burr hole drainage； Group B was treated with craniotomy for hematoma evacuation. The therapeutic effect was compared. Results： The operation time， hospitalization time and bleeding volume in Group A were reduced， with statistical difference among groups (P<0.05)； before surgery， the NIHSS ((National Institute of Health stroke scale)and ADL (activity of daily living)scores showed no statistical difference among groups (P>0.05)； after surgery， the related scores for two groups were improved， but there were no statistical difference between Group A and Group B (P>0.05)； the incidence rate of complications in Group A and Group B was 10.64% and 6.38%， without statistical difference (P>0.05).Conclusion： Both of the craniotomy and burr hole drainage has its effect in moderate-volume hypertensive cerebral hemorrhage， can efficiently improve the illness conditions and increase the living ability. However， the later method can shorten the operation time and hospitalization time， and reduce the bleeding volume.
, 百拇医药
Key words： burr hole drainage； hypertensive cerebral hemorrhage in the basal ganglia region； craniotomy for hematoma evacuation
【中图分类号】R47 【文献标识码】A 【文章编号】1005-0019(2018)15-00-01
高血压脑出血属于脑血管疾病中致残率、病死率较高的疾病，临床通常采取手术进行治疗，但不同手术可能产生不同治疗效果，其中钻孔引流术、开颅血肿清除术被广泛应用于临床，均获得了一定治疗价值[1]。我院展开研究，探讨两种手术方式应用于中等量基底核区高血压脑出血中的价值，现作出如下报道：
1 资料与方法
1.1 一般资料
择我院2017年6月-2018年1月纳入的94例中等量基底核区高血压脑出血患者，按照数字表法随机分为两组各47例。A组男22例，女25例，年龄43-65岁，平均年龄(56.2±1.2)岁，脑出血量26-45ml。平均(40.5±2.6)ml；B组男23例，女24例，年龄44-65岁，平均年龄(56.7±1.3)岁，脑出血量25-45ml，平均(40.9±2.7)ml。两组基本资料无显著性差异(P>0.05)。均符合基底核区高血压脑出血的临床诊断标准，并处于稳定期；患者及家属均签署知情同意书，并自愿加入本次研究。, 百拇医药(孙德科)
参见：首页 > 医疗版 > 疾病专题 > 神经内科 > 脑血管病 > 脑出血