CAJ | 학술논문

目的研究小骨窗开颅术和骨瓣开颅术治疗高血压脑出血的效果。方法我院2010年9月至2012年3月收入的134例高血压脑出血患者，按随机原则分为小骨窗开颅术组（A组）和骨瓣开颅术组（B组）两组，各67例，分别施行小骨窗开颅术和骨瓣开颅术，比较两组治疗效果，致残率、致死率等。结果 A组效果良好46例，效果不佳21例，治疗有效率68.7%，残疾15例，致残率22.4%，死亡6例，致死率8.9%；B组效果良好55例，效果不佳12例，治疗有效率82.1%，残疾9例，致残率13.4%，死亡3例，致死率4.5%。B组优于A组，差异具有统计学意义（P＜0.05）。结论高血压脑出血患者，应根据患者身体情况，合理选用骨瓣开颅术治疗，能取得较好疗效。
목적연구소골창개로술화골판개로술치료고혈압뇌출혈적효과。방법아원2010년9월지2012년3월수입적134례고혈압뇌출혈환자，안수궤원칙분위소골창개로술조（A조）화골판개로술조（B조）량조，각67례，분별시행소골창개로술화골판개로술，비교량조치료효과，치잔솔、치사솔등。결과 A조효과량호46례，효과불가21례，치료유효솔68.7%，잔질15례，치잔솔22.4%，사망6례，치사솔8.9%；B조효과량호55례，효과불가12례，치료유효솔82.1%，잔질9례，치잔솔13.4%，사망3례，치사솔4.5%。B조우우A조，차이구유통계학의의（P＜0.05）。결론고혈압뇌출혈환자，응근거환자신체정황，합리선용골판개로술치료，능취득교호료효。
Objective To study the effects of small bone flap craniotomy and traditional craniotomy surgery in the treatment of hypertensive intracerebral hemorrhage. Methods 134 patients with hypertensive intracerebral hemorrhage in our hospital from September 2010 to March 2012,were randomly divided into small bone flap craniotomy group (group A) and traditional craniotomy group (group B),67 cases in each group, treatment effects, disability and fatality rate were compared. Results In group A,46 cases were effective significantly,21 cases were ineffective, the treatment efficiency was 68.7%,15 cases with disability, disability rate was 22.4%, with 6 deaths, the fatality rate was 8.9%.In group B,55 cases were effective significantly,12 cases were ineffective, the treatment efficiency was 82.1%,nine cases with disability, disability rate was 13.4%,with 3 deaths, the fatality rate was 4.5%.there were statistically significant (P<0.05). Conclusion Traditional craniotomy treatment should be selected based on the patient's body with hypertensive intracerebral hemorrhage. If we select a reasonable method,it can achieve better efficacy.