中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
18期
27-27,29
,共2页
小骨窗开颅手术%高血压脑出血%临床效果
小骨窗開顱手術%高血壓腦齣血%臨床效果
소골창개로수술%고혈압뇌출혈%림상효과
Small bone window craniotomy operation%Hypertensive cerebral hemorrhage%Clinical effect
目的：探讨小骨窗开颅手术治疗高血压脑出血的临床治疗效果。方法：2013年3月～2014年3月收治高血压脑出血患者80例，根据手术方式的不同分为对照组和观察组，每组40例。其中对照组采用传统的大骨瓣血肿清除手术，观察组则采用小骨窗开颅手术，将两组患者的并发症发生率、死亡率和总有效率进行对比。结果：对照组并发症发生率25%，死亡率30%，观察组的并发症发生率5%，死亡率5%，观察组显著低于对照组，差异有统计学意义(P＜0.05)。对照组总有效率85%，观察组总有效率100%，观察组显著高于对照组，差异有统计学意义(P＜0.05)。结论：使用小骨窗开颅手术治疗高血压脑出血患者能够有效降低并发症的发生率和死亡率，提高治疗的总有效率和患者的生活质量。
目的：探討小骨窗開顱手術治療高血壓腦齣血的臨床治療效果。方法：2013年3月～2014年3月收治高血壓腦齣血患者80例，根據手術方式的不同分為對照組和觀察組，每組40例。其中對照組採用傳統的大骨瓣血腫清除手術，觀察組則採用小骨窗開顱手術，將兩組患者的併髮癥髮生率、死亡率和總有效率進行對比。結果：對照組併髮癥髮生率25%，死亡率30%，觀察組的併髮癥髮生率5%，死亡率5%，觀察組顯著低于對照組，差異有統計學意義(P＜0.05)。對照組總有效率85%，觀察組總有效率100%，觀察組顯著高于對照組，差異有統計學意義(P＜0.05)。結論：使用小骨窗開顱手術治療高血壓腦齣血患者能夠有效降低併髮癥的髮生率和死亡率，提高治療的總有效率和患者的生活質量。
목적：탐토소골창개로수술치료고혈압뇌출혈적림상치료효과。방법：2013년3월～2014년3월수치고혈압뇌출혈환자80례，근거수술방식적불동분위대조조화관찰조，매조40례。기중대조조채용전통적대골판혈종청제수술，관찰조칙채용소골창개로수술，장량조환자적병발증발생솔、사망솔화총유효솔진행대비。결과：대조조병발증발생솔25%，사망솔30%，관찰조적병발증발생솔5%，사망솔5%，관찰조현저저우대조조，차이유통계학의의(P＜0.05)。대조조총유효솔85%，관찰조총유효솔100%，관찰조현저고우대조조，차이유통계학의의(P＜0.05)。결론：사용소골창개로수술치료고혈압뇌출혈환자능구유효강저병발증적발생솔화사망솔，제고치료적총유효솔화환자적생활질량。
Objective:To explore the clinical therapeutic effect of small bone window craniotomy operation in the treatment of hypertensive cerebral hemorrhage.Methods:80 cases with hypertensive cerebral hemorrhage were selected from March 2013 to March 2014.They were divided into the control group and the observation group with 40 cases in each group according to the different ways of operation.The control group were treated with the traditional large craniectomy hematoma operation,while the observation group were treated with small bone window craniotomy operation.We compared the incidence of complications, mortality and overall efficiency of the two groups.Results:In the control group,the complication rate was 25%,and mortality was 30%.In the observation group,the complication rate was 5%,and mortality was 5%.The observation group was significantly lower than that of the control group.The difference was statistically significant(P<0.05).In the control group,the total efficiency was 85%. In the observation group,the total efficiency was 100%.The observation group was significantly higher than that of the control group.The difference was statistically significant(P<0.05).Conclusion:The application of small bone window craniotomy operation in the treatment of hypertensive cerebral hemorrhage can effectively reduce the incidence and mortality rate of complications,and improve the total effective rate of treatment and quality of life of the patients.
