显微外科手术治疗中等量幕上自发性脑出血的效果分析

目的 分析显微外科手术与内科保守处理在治疗幕上自发性脑出血效果的差别。 方法 回顾性分析55例幕上自发性脑出血患者的临床资料,分为外科手术组和保守治疗组,统计两组的入院出血量、入院GCS评分、7 d后残余血肿量、7 d后GCS评分、住院天数、住院费用、1月后GOS评分、3月后GOS评分。 结果 两组患者在残余血肿量、GCS评分、住院天数、发病1月后及3月后的GOS评分比较,差别均有统计学意义(P<0.05)。结论 显微外科手术在治疗幕上自发性脑出血中具有一定优势,可在短期内改善患者神经功能,并在一定程度上提高生活质量。

The Effect of Microsurgery on Moderate SupratentorialSpontaneous Intracerebral Hemorrhage

Objective To compare the difference in curative effect between microsurgery and conservative treatment for supratentorial spontaneous intracerebral hemorrhage. Methods A retrospective study was performed on 55 patients with supratentorial spontaneous intracerebral hemorrhage from January 2016 to September 2018. The patients were divided into microsurgery group and conservative treatment group. Bleeding volume on admission, GCS scores on admission, remaining hematoma volume after 7 days of admission, GCS scores after 7 days of admission, hospitalization days, medical expenditure of inpatients, GOS scores after 1 months of admission, and GOS scores after 3 months of admission for patients in the two groups were recorded. Results There were statistical differences(P<0.05)between the two groups on the remaining hematoma volume,GCS scores after 7 days of admission, and length of hospital stay. Meanwhile the two GOS scores(P<0.05)of microsurgery group were higher than that of conservative treatment group. Conclusion Compared to conservative treatment, microsurgery has its own advantages in the treatment of spontaneous intracerebral hemorrhage. And it can not only obviously improve the neurological function in a short time, but enhance quality of life to some extent.