小骨窗与立体定向血肿抽吸治疗高血压脑出血临床效果对比研究

目的：探讨立体定向血肿抽吸与小骨窗治疗高血压脑出血的临床效果，为临床医生提供治疗依据。方法：选取本院2012年1月-2013年1月收治的高血压脑出血患者80例，随机均分为治疗组和对照组，每组各40例。对照组行立体定向血肿抽吸治疗，观察组给予小骨窗开颅治疗，观察两组患者的临床效果和预后。结果：观察组总有效率为90.0%，优于对照组的70.0%，差异有统计学意义（P〈0.05）。同时经ADL量表以及神经功能评估，观察组均优于对照组（P〈0.05）。经一年回访复查后两组预后无差异。结论：经小骨窗开颅治疗高血压脑出血的临床效果优于立体定向血肿抽吸，值得临床推广。

A Comparative Study of the Clinical Effect of Small Bone Window and Stereotactic Aspiration in Treating Hypertensive Cerebral Hemorrhage

Objective：To investigate the clinical effect of stereotactic hematoma aspiration and craniotomy for treatment of hypertensive cerebral hemorrhage,to provide basis for clinical treatment.Method：80 cases of hypertensive cerebral hemorrhage in our hospital from January 2012 to January 2013 were divided into treatment group and control group,each of 40 cases.The control group was given stereotactic hematoma aspiration treatment,the observation group was given small bone window craniotomy,the clinical effect and prognosis of the two groups were observed. Result：The total effective rate of observation group was 90.0%,better than 70.0%of the control group,the difference was statistically significant（P〈0.05）.At the same time,the ADL scale and nerve function assessment in the observationtion group were better than those in the control group（P〈0.05）. After one year follow-up,prognosis of two groups was no difference. Conclusion：The clinical effect of small window craniotomy in the treatment of hypertensive cerebral hemorrhage is superior to stereotactic hematoma aspiration ,it is popularize in clinic.