摘要
目的探讨不同手术时机治疗高血压脑出血的近期效果。方法以我院2016年1月~2017年1月接诊行手术治疗的78例高血压脑出血患者为观察对象,以不同的发病到手术时间为依据,将其分为超早期组(≤6 h)、早期组(6~24 h)、晚期组(≥24 h),每组26例。根据实际病情采取相应手术治疗,并分析三组不同手术时机的近期效果、再出血率等。结果超早期组、早期组、晚期组的优良率、病死率差异无统计学意义(P>0.05)。超早期组术后再出血率(30.77%)高于早期组(7.69%)、晚期组(3.85%),差异有统计学意义(P<0.05),但早期组、晚期组术后再出血率差异无统计学意义(P>0.05)。结论三种手术实际均可以获取理想的近期效果,但超早期组术后再出血发生率较高,因此,可将早期手术作为符合条件者的首选手术时机,安全可靠。
Objective To explore the short-term effects of different surgical timing treating hypertensive intracerebral hemorrhage.Methods A total of 78 patients with hypertensive intracerebral hemorrhage performed with surgeries in our hospital from January 2016 to January 2017 were selected as observation subjects.They were divided into the ultra-early group(≤6 h),early group(6-24 h)and late group(≥24 h)according to different onset-to-operation time,and there were 26 cases in each group.According to the actual conditions,the corresponding surgeries were adopted.The short-term effect and re-bleeding rate in different surgical timing among three groups were analyzed.Results There was no significant difference in the good and excellent rate or mortality rate among the ultra-early group,early group,and late group(P>0.05).The incidence of postoperative re-bleeding in the ultra-early group was 30.77%,which was significantly higher than that in the early and late groups accounting for 7.69%and 3.85%respectively(P<0.05).However,there was no statistical difference in re-bleeding rate in the early and late group(P>0.05).Conclusion The three different surgical timing all can actually obtain ideal short-term effect,but the incidence of re-bleeding in the ultra-early group is higher.Therefore,early surgery can be used as the preferred surgical timing for those met the criteria,and it is safe and reliable.
作者
刘庆彬
LIU Qing-bin(The First Department of Surgery,the Second People′s Hospital of Huidong County,Guangdong Province,Huidong 516351,China)
出处
《中国当代医药》
2018年第10期65-67,共3页
China Modern Medicine
关键词
高血压脑出血
手术时机
再出血
近期效果
Hypertensive cerebral hemorrhage
Surgical timing
Re-bleeding
Short-term effect
