摘要
目的探讨在对高血压病脑出血进行治疗时使用软通道微创术及开颅术的临床效果。方法选取2013年2月至2016年2月我院收治的高血压病脑出血患者170例,按照住院顺序分为A组(80例)和B组(90例)。A组患者使用软通道微创术进行治疗,B组患者使用开颅术进行治疗,对比两组患者的治疗总有效率、并发症发生率、死亡率和巴氏指数评分。结果 A组患者的治疗总有效率为93.75%,明显高于B组的84.44%(P<0.05);两组患者治疗后并发症发生率及死亡率之间的差异没有统计学意义(P>0.05);两组患者在术前和术后1周的巴氏指数评分差异不明显(P>0.05),而术后1、3、6个月的巴氏指数评分差异明显(P<0.05)。结论在对高血压病脑出血进行治疗时,软通道微创术的效果要优于开颅术,并且患者通过软通道微创术治疗后的巴氏指数评分高于开颅术,值得推广。
Objective To explore the treatment effect of soft channel minimally invasive surgery and craniotomy on hypertensive cerebral hemorrhage. Methods One hundred and seventy cases of patients with hypertensive cerebral hemorrhage in our hosptial from February 2013 to February 2016 were selected and divided into group A （80 cases） and group B （90 cases） according to the order of hospitalization. Soft channel minimally invasive surgery was used in group A, while craniotomy was used in group B, and the total effective rate, complication incidence rate and scores of Barthel index were compared between the two groups. Results The total effective rate of group A was 93.75%, which was significantly higher than 84.44% of the group B （P〈0.05）. There was no significant difference between the two groups in complication incidence rate and mortality rate （P〉0.05）; the scores of Barthel index between the two groups patients pre-operation and postoperation one week had no significant difference, but postoperation 1 month, 3 months, and 6 months were with significant differences （P〈0.05）. Conclusion For patients with hypertensive cerebral hemorrhage, the treatment effect of soft channel minimally invasive surgery is significantly better than that of craniotomy, and after soft channel minimally invasive surgery treatment, the score of Barthel index is higher than that of craniotomy, therefore, it is worth popularization.
出处
《临床医学研究与实践》
2017年第9期52-53,共2页
Clinical Research and Practice
关键词
软通道微创术
开颅术
高血压病脑出血
soft channel minimally invasive surgery
craniotomy
hypertensive cerebral hemorrhage
