早期小骨窗血肿清除术与延期开颅血肿清除术治疗重症高血压患者脑出血疗效比较

目的 研究早期小骨窗血肿清除术与延期开颅血肿清除术治疗重症高血压患者脑出血的疗效.方法 回顾性分析高血压脑出血患者的病史资料,分为接受早期小骨窗血肿清除术的观察组和延期开颅血肿清除术的对照组,观察神经功能、精神状态和日常生活能力.结果 观察组患者的MMSE评分、Barthel指数、FIM评分明显高于对照组,与手术时机呈负相关、与手术方式呈正相关;CSS评分、NIHSS评分、PULSES评分明显低于对照组,与手术时机呈正相关、与手术方式呈负相关.结论 早期给予小骨窗血肿清除术治疗能够改善神经功能、精神状态和日常生活能力,具有积极的临床价值.

Effect of early small bone window hematoma evacuation and delayed hematoma evacuation in the treating severe hypertensive hemorrhage

Objective To study the effect of early small bone window hematoma evacuation and delayed hematoma evacuation in treating severe hypertensive hemorrhage.Methods Clinical data of hypertensive cerebral hemorrhage patients were collected and divided into observation group given early small bone window hematoma evacuation and control group given delayed hematoma evacuation.Then the nerve function,mental state and the ability of daily life were observed.Results MMSE score,barthel index,FIM score of observation group were significantly higher than those of control group,and were positively correlated with operation time and negatively correlated with operation mode; CSS score,NIHSS score and PULSES score were significantly lower than those of control group,negatively correlated with operation time and positively correlated with operation mode.Conclusion Early small bone window craniotomy hematoma removal has positive clinical value for it can improve nerve function,mental state and the ability of daily life.