CAJ | 학술논문

目的：探讨高血压脑出血患者并应用不同手术方法后对于脑水肿的影响。方法选取我院2008～2012年收治的180例高血压脑出血手术患者做为研究对象。按照不同的治疗方法分为A、B、C三组，每组60例。A组患者采用钻孔置管血肿引流治疗，B组患者应用小骨瓣开颅血肿清除治疗，C组患者应用常规开颅去骨瓣减压治疗。比较三组患者的术后72h水肿体积、水肿持续时间与术后48h残留血液量。结果患者应用小骨瓣开颅血肿清除术后各项临床指标优于钻孔置管血肿引流术与常规开颅去骨瓣减压术，差异具统计学意义（P＜0.05）。结论对于高血压脑出血患者应用小骨瓣开颅血肿清除术后，患者72h水肿体积较小，术后48h残留血量较少，水肿持续时间较短，临床治疗与控制效果显著，值得临床推广应用。
목적：탐토고혈압뇌출혈환자병응용불동수술방법후대우뇌수종적영향。방법선취아원2008～2012년수치적180례고혈압뇌출혈수술환자주위연구대상。안조불동적치료방법분위A、B、C삼조，매조60례。A조환자채용찬공치관혈종인류치료，B조환자응용소골판개로혈종청제치료，C조환자응용상규개로거골판감압치료。비교삼조환자적술후72h수종체적、수종지속시간여술후48h잔류혈액량。결과환자응용소골판개로혈종청제술후각항림상지표우우찬공치관혈종인류술여상규개로거골판감압술，차이구통계학의의（P＜0.05）。결론대우고혈압뇌출혈환자응용소골판개로혈종청제술후，환자72h수종체적교소，술후48h잔류혈량교소，수종지속시간교단，림상치료여공제효과현저，치득림상추엄응용。
Objective To explore the influence of different types of operations on cerebral edema in the treatment of hypertensive cerebral hemorrhage. Methods 180 patients with hypertensive cerebral hemorrhage who were admitted to our hospital from 2008 to 2012 and received operation were selected as research subjects. The patients were assigned into three groups A, B, and C according to different curative methods, with 60 patients in each group. Group A was received hematoma drainage by skull drilling and catheter, group B was received hematoma clearance by craniotomy of small bone flap, and group C was received regular decompressive craniotomy. The edema volume and duration of edema in 72h after operation and the residual blood volume in 48h after operation were compared between the three groups. Results The clinical indices of patients received hematoma clearance by craniotomy of small bone flap were better than those received hematoma drainage by skull drilling and catheter and regular decompressive craniotomy, and the differences were statistically significant (P<0.05). Conclusion The patients with hypertensive cerebral hemorrhage who are received hematoma clearance by craniotomy of small bone flap have less edema volume in 72h, less residual blood volume in 48h and shorter duration of edema. The operation has a significant clinical effect and is worthy of clinical promotion and application.