高血压脑出血锥颅穿刺外引流术方面的治疗体会

目的：探讨高血压脑出血锥颅穿刺外引流术的治疗体会。方法选取我科室采用锥颅穿刺外引流术的34例高血压脑出血的患者为观察组，选取同期采用开颅手术治疗的30例高血压脑出血患者为对照组，比较两组的手术情况、手术治疗效果及术后并发症。结果两组的血清清除率无统计学差异(P>0.05)。观察组的手术时间、术后拔管时间、住院时间均短于对照组，术后并发症少于对照组，差异有统计学意义(P<0.05)。观察组术后的GOS评分预后、Barthel指数预后好于对照组，差异有统计学意义(P<0.05)。结论锥颅穿刺外引流术治疗高血压脑出血安全、有效、创伤小，效果优于开颅手术。

Treatment Experience of Skull Puncture in Hypertensive Cerebral Hemorrhage Patients

Objective To investigate the treatment experience of skull puncture in hypertensive cerebral hemorrhage patients. Methods 34 cases of hypertensive cerebral hemorrhage patients with skull puncture were the observation group, another 30 cases with craniotomy at the same time were the control group. The two groups were compared of the operation conditions, surgical treatment and postoperative complications. Results There was no statistical significance in success rate of hematoma removal between the two groups (P>0. 05). The operation time, postoperative extubation time, hospitalization time in the observation group was shorter than that in the control group, the postoperative complications were less than those in the control group, the difference was statistically sig-nificant (P<0. 05). The GOS score and Barthel index in the observation group were better than those in the control group, the differ-ence was statistically significant (P<0. 05). Conclusion Skulls puncture in the treatment of hypertensive cerebral hemorrhage is safety, effective and minimally invasive that is superior to craniotomy.