小骨窗微创开颅术治疗高血压脑出血35例临床观察

目的：观察小骨窗开颅手术治疗高血压性脑that的临床疗效。方法：采用对照研究的方法将65例高血压脑出血患者随机分为观察组35例和对照组30例。观察组行小骨窗开颅术治疗，对照组行内科保守治疗，观察并对比两组的临床疗效。结果：观察组治愈率及总有效率分别为28．6％和85．7％，明显高于对照组的13．3％和73．3％，比较差异均具有统计学意义（P〈0．05）；观察组术后神经功能NIHSS评分较术前显著降低，比较差异有统计学意义（P〈0．05）。结论：小骨窗开颅术治疗高血压性脑出血创伤小、疗效显著，可明显改善患者神经功能，值得临床推广应用。

Clinical Observation of Minimal Invasive Craniotomy for Hypertensive Cerebral Hemorrhage of 35 Cases

Objective： To observe the clinical efficacy of small bone window craniotomy for treatment of hypertensive cerebral hemorrhage. Method： 65 patients with hypertensive cerebral hemorrhage were randomly divided into observation group of 35 patients and a control group of 30 patients. Observation group was treated by treatment of small bone window craniotomy, and control group conservative treatment. To observe and compare the clinical efficacy of the two groups. Result： The cure rate and total effective rate of observation group was 28.6% and 85.7%, which was significantly higher than the control group of 13.3% and＇~3.3% （ P〈0.05 ） . The postoperative neurologic NIHSS score of observation group was significantly lower than ihe preoperative （ P〈0.05 ） . Conclusion： Small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage is trauma, significantly effect, and can be significantly improved neurological function, worthy of clinical application.