摘要
目的评价小骨窗开颅术治疗高血压脑出血的临床效果。方法将106例高血压脑出血患者按手术方法随机分为小骨窗开颅术组(n=66)和大骨瓣开颅术组(n=40),对意识恢复时间、神经功能缺损程度评分及总有效率、死亡率等指标进行比较分析。结果小骨窗开颅术组的意识恢复时间短于大骨瓣开颅术组(t=2.36,P<0.01),术后1个月神经功能缺损程度评分的改善情况比较,小骨窗开颅术组优于大骨瓣开颅术组(t=3.79,P<0.01),小骨窗开颅术组的总有效率高于大骨瓣开颅术组(χ2=5.20,P<0.05),其病死率则低于大骨瓣开颅术组(χ2=4.84,P<0.05)。结论小骨窗开颅术治疗高血压脑出血疗效可靠,创伤小、并发症少,有利于神经功能的恢复,尤其适用于中等量脑出血。
[Objective] To evaluate the clinical curative effects of small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage （HCH）. [Methods] According to the different operative types, 106 patients with hypertensive cerebral hemorrhage （HCH） were randomly divided into two groups： small bone window eraniotomy group （n =66） and big bone flap craniotomy group （n=40）. The indexes including duration of consciousness recovery, neurologic impairment score, total effective rate and mortality were comparatively analyzed. [Results] The duration of consciousness recovery in small bone window craniotomy group was shorter than that in big bone flap craniotomy group （t =2.36,P 〈0.01）. At postoperative 1 month, the variance＇of neurologic impairment score in small bone window craniotomy group excelled that in big bone flap craniotomy group （t=3.79, P 〈0.01）. The total effective rate in small bone window craniotomy group was higher than that in big bone flap craniotomy group while the mortality in the former was lower than that in the latter χ^2=4.84, P 〈0.05）. [Conclusion] Small bone window craniotomy can be applied in the treatment of hypertensive cerebral hemorrhage with advantages such as reliable curative effect, slight trauma and few complications. It profits neurofunctional recovery especially in treating brain hemorrhage of medium capacity.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2009年第12期1867-1869,1872,共4页
China Journal of Modern Medicine
关键词
高血压脑出血
小骨窗开颅术
大骨瓣开颅术
疗效
hypertensive cerebral hemorrhage
small bone window craniotomy
big bone flap eraniotomy
curative effect
