CAJ | 학술논문

目的：对比不同术式治疗高血压脑出血患者对术后脑水肿的影响。方法选取我院2011-05-2013-03收治入院拟行手术治疗的高血压脑出血患者114例，随机分为观察组与对照组，观察组实施显微手术，对照组实施常规开颅手术，对比2组患者术后脑水肿情况。结果观察组患者手术时间、术中出血量均少于对照组，其术后72 h脑水肿体积及术后48 h脑残留血量均明显较少，脑水肿持续时间及住院时间明显较短，相比对照组，差异有统计学意义（ P＜0.05）。结论显微手术相比常规手术能够有效减少术后脑水肿体积及持续时间，临床应用效果理想。
목적：대비불동술식치료고혈압뇌출혈환자대술후뇌수종적영향。방법선취아원2011-05-2013-03수치입원의행수술치료적고혈압뇌출혈환자114례，수궤분위관찰조여대조조，관찰조실시현미수술，대조조실시상규개로수술，대비2조환자술후뇌수종정황。결과관찰조환자수술시간、술중출혈량균소우대조조，기술후72 h뇌수종체적급술후48 h뇌잔류혈량균명현교소，뇌수종지속시간급주원시간명현교단，상비대조조，차이유통계학의의（ P＜0.05）。결론현미수술상비상규수술능구유효감소술후뇌수종체적급지속시간，림상응용효과이상。
Objective To compare and analyze the influence of different operative methods on cerebral edema after opera-tion for patients with Hypertensive intracerebral hemorrhage.Methods 114 cases with hypertensive intracerebral hemorrhage treated in our hospital from May 2011 to March 2013 were selected and divided into two groups randomly ,the observation group and the control group. The observation group was treated with microsurgical operation ,and the control group was trea-ted with conventional craniotomy. The cerebral edema after operation of two groups was compared.Results The operation time and inoperative blood loss of the observation group were less than that of the control group. The cerebral edema volume at 72h after operation and blood residues at 48h after operation of the observation group reduced evidently ,and the duration of cerebral edema and length of stay at hospital of the observation group were evidently shorter than those of the control group ,P<0.05 , which had statistical significance.Conclusion For clinical operation methods treating patients with hypertensive intracerebral hemorrhage ,compared with conventional operation ,microsurgical operation can effectively reduce the cerebral edema volume and duration after operation ,which has ideal clinical effect.