摘要
Abstract
Objective To explore the influences of different surgical methods on postoperative complications and clinical efficacy in patients with hypertensive cerebral hemorrhage (HCH ) .Methods All 186 cases with HCH were selected as re‐search subjects ,who were randomly divided into 3 groups ,62 cases in each group .Group A conducted large trauma craniotomy , group B employed small bone window craniotomy and group C received trepanation and hematoma aspiration .After two weeks we assessed the GCS and NIHSS scores ,postoperative complications and clinical curative efficacy between three groups .Results The group A showed less GCS scores and higher NIHSS scores than the other two groups (all P<0.05) ,however no statis‐tical differences were found between group B and group C as for GCS and NIHSS scores (P>0.05) .Although the three groups indicated no significant differences in terms of re-bleeding(P>0.05) ,the group A presented higher incidences of infection , stress ulcer and renal failure than others(P<0.05) ,and except for the incidence of stress ulcer when compared group B and group C(P<0.05) ,others did not showed statistical differences (P>0.05) .The good rate was 20.9% in group A ,48.4% in group B and 50.0% in group C which showed that group A held lower rate than others (P<0.05) .Mortality rate in three groups presented no difference that group A got 25.8% ,group B got 20.9% and group C got 19.4% (P>0.05) .Conclusion On the basis of the postoperative complications and clinical efficacy of different surgical methods ,we draw conclusions that trepanation and hematoma aspiration may be superior to small bone window craniotomy ,which takes an advantage over large trauma craniotomy but the mortality rate of the three methods may be not different .关键词
高血压脑出血/大骨瓣开颅术/小骨窗开颅术/钻孔血肿抽吸引流术/并发症Key words
Hypertensive cerebral hemorrhage/Large trauma craniotomy/Small bone window craniotomy/Trepanation and hematome aspiration/Complication分类
医药卫生
