中国医学创新2016，Vol.13Issue(31)：24-27,4.DOI:10.3969/j.issn.1674-4985.2016.31.007
高血压脑出血患者择时微创手术的效果分析
Analysis of the Effect of Minimally Invasive Surgery on Patients with Hypertensive Cerebral Hemorrhage
摘要
Abstract
Objective:To investigate clinical effect of minimally invasive surgical for patients with hypertensive intracerebral hemorrhage within 48 hours.Method:60 patients with cerebral hemorrhage in our hospital were divided into 29 cases of minimally invasive surgery within 24 hours as the control group,31 cases of choose minimally invasive surgery within 48 hours in the observation group.Used ADL classification of daily life,Glasgow Prognostic Score (GOS),postoperative complications,clinical efficacy evaluation of minimally invasive surgery in the two groups.Result:After treatment,Ⅰ,Ⅱ,Ⅲ,Ⅳ and Ⅴ levels of daily life ADL grading and number of deaths,excellent,good,middle and poor score results of GOS score,complications, clinical effect in the observation group were not statistically difference compared with the control group(P>0.05). Conclusion:Patients through effective hemostasis of hypertensive cerebral hemorrhage,dehydration reducing intracranial pressure, anti infection,control blood pressure,improve cerebral circulation, cooling, correct water, electrolyte disturbance,energy,neuronprotective therapy, minimally invasive surgery within 48 h,and the effect is 24 h in the implementation of minimally invasive surgery,which provides new insights into the time window operation in patients with hypertensive cerebral hemorrhage.关键词
高血压脑出血/择时微创手术/日常生活ADL分级/格拉斯哥预后评分/术后并发症/临床疗效Key words
Hypertensive intracerebral hemorrhage/Choose minimally invasive surgery/Daily life ADL grading/Glasgow Outcome Scale/Postoperative complications/Clinical efficacy引用本文复制引用
胡天义,周晓光,胥剑波,余莎,熊梦莲..高血压脑出血患者择时微创手术的效果分析[J].中国医学创新,2016,13(31):24-27,4.基金项目
江西省卫生厅普通科技计划项目 （）
