小骨窗开颅术与大骨瓣开颅术对高血压脑出血的临床疗效分析

目的探讨小骨窗开颅术与大骨瓣开颅术对高血压脑出血的临床疗效。方法随机选取在本院就诊的高血压患者110例,分为观察组和对照组。对照组（n=52例）使用大骨瓣开颅术治疗;观察组（n=58例）使用小骨窗开颅术进行治疗。对比两组治疗的总有效率、死亡率、并发症发生率、神经功能缺损评分、意识恢复时间等指标。结果与对照组相比,观察组意识恢复时间较短,神经功能缺损评分改善,总有效率较高,病死率较低,并发症发生率较低,差异有统计学意义,P〈0.05。结论两种方法治疗高血压脑出血临床疗效显著,小骨窗开颅术并发症少,神经功能恢复良好。

Clinical curative effect analysis of small bone window craniotomy and big bone flap craniotomy in treatment of hypertensive cerebral hemorrhage

Objective To explore the clinical effect of small bone window craniotomy and big bone flap craniotomy in treatment of hypertensive cerebral hemorrhage (HCH). Methods Randomly selected 110 cases of HCH patients treated in our hospital and divided into observation group and control group. The control group (n = 52) was treated with small bone window craniotomy; the observation group (n = 58) was used of big bone flap craniotomy. Compared two groups with total effective rate, mortality, complication rate, neural function defect score, consciousness recovery time and other objectives. Results Compared with the control group, the observation group had shorter consciousness recovery time, improved neural function defect score, the higher total efficiency, lower mortality rate, lower rate of complications, difference had statistical significance, P < 0.05. Conclusion Both ways in treatment of hypertensive cerebral hemorrhage have significant clinical curative effect. Small bone window craniotomy has less complications and good neurological recovery.