软通道微创介入治疗高血压脑出血的疗效和安全性分析

目的：探讨软通道微创介入在治疗高血压脑出血中的应用疗效及安全性。方法82例高血压脑出血患者，随机分为对照组和观察组，各41例。其中对照组给予硬通道微创术进行治疗，观察组采用软通道微创介入法进行治疗，治疗后对两组治疗总有效率、并发症以及生活自理能力、生活质量评分等进行对比分析。结果对比结果显示，对照组治疗总有效率为78.05%，观察组为90.24%，差异有统计学意义（P＜0.05）；临床并发症上，对照组再出血8例，气颅9例，感染6例，软组织损伤1例；观察组再出血4例，气颅2例，感染1例，软组织损伤6例。治疗后两组患者生活自理能力评分比较差异无统计学意义（P〈0.05）；生活质量评分观察组明显高于对照组（P＜0.05）。结论在高血压脑出血的临床治疗过程中，采用软通道微创术具有较好的疗效，并发症少，有利于改善患者的生存质量，值得在临床上进行推广和应用。

Analysis of curative effect and safety of soft channel minimally invasive intervention in the treatment of hypertensive cerebral hemorrhage

Objective To investigate the application effect and safety of soft channel minimally invasive intervention in the treatment of hypertensive cerebral hemorrhage. Methods A total of 82 hypertensive cerebral hemorrhage cases were randomly divided into control group and observation group, with 41 cases in each group. The control group received hard channel minimally invasive surgery, and the observation group received soft channel minimally invasive intervention. Comparisons were made on the total effective rates, complications and self-help ability, and life quality scores of the two groups after treatment. Results The comparison showed that the total effective rate of the control group was 78.05%, and that of the observation group was 90.24%. The difference was statistically significant （P〈0.05）. The complications in the control group included 8 cases of rehaemorrhagia, 9 cases of pneumocrania, 6 cases of infection, and 1 case of soft tissue injury;and those in the observation group were 4 cases of rehaemorrhagia, 2 cases of pneumocrania, 1 case of infection, and 6 cases of soft tissue injury. There were no significant differences of self-help ability scores between the two groups after treatment （P〉0.05）, and the observation group had higher life quality score than the control group （P〈0.05）. Conclusion In clinical treatment of hypertensive cerebral hemorrhage, the use of soft channel minimally invasive intervention has the advantages of good effect and few complications. It can improve the life quality of patients, and it is also worthy of clinical promotion and application.