微侵袭血肿引流术治疗高血压脑出血的效果观察

目的：评价微侵袭血肿引流术治疗高血压脑出血的临床效果，探讨其临床适用性。方法选择2011年5月~2014年5月于本院就诊的78例高血压脑出血患者，将其随机分为试验组和对照组，对照组采用传统开颅血肿清除术，试验组采用微侵袭血肿引流术。观察两组的手术时间、术中出血量、血肿清除率等手术一般情况，术后神经功能缺损程度评分改善情况、治疗效果，随访两组患者生活质量评分改善情况。结果两组手术过程均顺利，其中试验组未出现中转开颅手术的情况。试验组手术时间短于对照组，术中出血量少于对照组，血肿清除率高于对照组，差异有统计学意义（P〈0.05）。治疗前两组患者的神经功能缺损程度评分比较，差异无统计学意义（P〉0.05）；治疗后，两组患者的神经功能缺损程度评分均降低，差异有统计学意义（P〈0.05），且试验组评分低于对照组，差异有统计学意义（P〈0.05）；试验组的总有效率高于对照组，差异有统计学意义（χ2=4.4928，P=0.0340）。试验组患者的生活质量改善总有效率为97.5%，高于对照组的84.2%，差异有统计学意义（字2=4.2131，P=0.0401）。结论微侵袭血肿引流术治疗高血压脑出血符合微创理念，可以较快缓解患者的神经功能缺损症状，提高术后生活质量。

Efficacy observation of minimally invasive hematoma drainage for treat-ment of hypertensive cerebral hemorrhage

Objective To evaluate the clinical efficacy and explore the clinical applicability of minimally invasive hematoma drainage for treatment of hypertensive cerebral hemorrhage. Methods 78 patients with hypertensive cerebral hemorrhage treated in our hospital from May 2011 to May 2014 were selected and randomly divided into experimental group and control group.The control group was given with conventional craniotomy for hematoma clearance while the experimental group was given with minimally invasive hematoma drainage.The operation duration,intraoperative blood loss,hematoma clearance rate,postoperative neural function deficit score,therapeutic effect and life quality were ob-served. Results Both groups had successful surgery and no craniotomy was adopted in the experimental group.The ex-perimental group had better results in operation duration,intraoperative blood loss and hematoma clearance rate than those of the control group,the difference was significant （P〈0.05）.The two groups had no significant difference in neural function deficit score before treatment （P〉0.05）;both groups had decreased neural function deficit score after treatment, with statistical significance （P〈0.05）;the experimental group had better improvement than that of the control group,with statistical significance （P〈0.05）.The experimental group had better therapeutic effect than that of the control group,with statistical significance （χ2=4.4928,P=0.0340）.The total effective rate of life quality improvement was 97.5% in the ex-perimental group and 84.2%in the control group,with statistical significance （字2=4.2131,P=0.0401）. Conclusion In line with the concept of minimal invasiveness,minimally invasive hematoma drainage can promote fast remission of neural function deficit symptoms and improve postoperative life quality.