CAJ | 학술논문

目的：研究分析小骨窗开颅手术对高血压脑出血患者的临床治疗效果。方法根据我院接收的38例接受小骨窗开颅手术治疗患者的临床治疗来进行研究分析，选取同期38例患者为对照组，接受大骨瓣开颅手术治疗，对两组患者的临床效果对比分析。结果患者出血量为30～80 ml时，小骨窗开颅手术的临床效果优于大骨瓣开颅手术（P＜0.05）；当出血量＞80 ml时，两种手术的临床效果差异无统计学意义（P＞0.05）。结论高血压脑出血患者如果是出血情况比较轻微，介于30～80ml，选择小骨窗开颅手术治疗更加科学合理。
목적：연구분석소골창개로수술대고혈압뇌출혈환자적림상치료효과。방법근거아원접수적38례접수소골창개로수술치료환자적림상치료래진행연구분석，선취동기38례환자위대조조，접수대골판개로수술치료，대량조환자적림상효과대비분석。결과환자출혈량위30～80 ml시，소골창개로수술적림상효과우우대골판개로수술（P＜0.05）；당출혈량＞80 ml시，량충수술적림상효과차이무통계학의의（P＞0.05）。결론고혈압뇌출혈환자여과시출혈정황비교경미，개우30～80ml，선택소골창개로수술치료경가과학합리。
Objective To study the effect of small bone window craniotomy operation for clinical treatment of patients with hypertensive cerebral hemorrhage. Methods Chose 38 cases of cerebral hemorrhage in our hospital who received small bone window craniotomy operation, another 38 patients who receivd large bone lfap craniotomy operation were taken as the control group, a comparative analysis of two groups of patients with clinical effect was conducted. Results When the amount of bleeding was 30~80 ml, the clinical effect of small bone window craniotomy operation was better than the big bone flap craniotomy operation (P<0.05), when the amount of bleeding was>80 ml, there was no signiifcant difference between two kinds of operation (P>0.05). Conclusion For patients with hypertensive intracerebral hemorrhage, if the amount of bleeding is slightly ( from 30 to 80 ml ), the choice of small bone window craniotomy operation treatment is more scientiifc and reasonable.