微创颅内血肿清除术治疗高血压性脑出血疗效分析

目的 探究微创颅内血肿清除术治疗高血压性脑出血疗效。 方法 将我院2016年3月~2017年3月收治的82例高血压脑出血患者，随机分为对照组与实验组，每组41例，对照组行传统手术治疗，实验组行微创颅内血肿清除术，比较两组治疗效果并分别于治疗前、治疗2周后记录两组血肿、水肿体积，NIHSS评分、观察治疗效果。 结果 实验组治疗有效率85.36%高于对照组51.22%，差异有统计学意义（P<0.05）；治疗2周后实验组血肿体积、水肿体积、NIHSS评分指标低于对照组，存在统计学差异（P<0.05）。结论 相比于传统手术而言，微创颅内血肿清除术手可有效降低手术对患者带来的侵入性伤害，可提高治疗效果，值得临床推广。

Efficacy of Minimally Invasive Intracranial Hematoma in the Treatment of Hypertensive Intracerebral Hemorrhage

Abstract:Objective To explore the therapeutic effect of minimally invasive intracranial hematoma removal for hypertensive cerebral hemorrhage.Methods In our hospital in March 2016~2017 year in March were 82 cases of patients with hypertensive cerebral hemorrhage were randomly divided into control group and experimental group,41 cases in each group, the control group underwent conventional surgical treatment,the experimental group underwent minimally invasive intracranial hematoma.The curative effect was compared between two groups and respectively before treatment,treatment after 2 weeks of record two hematoma and edema volume, NIHSS score,curative effect.Results The effective rate of the experimental group was 85.36%,which was higher than that of the control group 51.22%.The difference was statistically significant(P<0.05).After 2 weeks of treatment,the hematoma volume,edema volume and NIHSS score of the experimental group were lower than those of the control group,there were statistical differences(P<0.05).Conclusion Compared with traditional surgery,minimally invasive evacuation of intracranial hematoma can effectively reduce invasive injury caused by operation,and it can improve the therapeutic effect,and is worthy of clinical promotion.