临床误诊误治2018，Vol.31Issue(6)：64-67,4.DOI:10.3969/j.issn.1002-3429.2018.06.021
微创穿刺引流与小骨窗血肿清除治疗高血压脑出血的临床效果及术后再出血危险因素分析
Clinical Effect of Minimally Invasive Puncture and Drainage Combined with Small Bone Window Cranioto-my for Removal of Hematoma in the Treatment of Hypertensive Intracerebral Hemorrhage and Risk Factor Analysis of Postoperative Rebleeding
摘要
Abstract
Objective To observe the clinical effects of minimally invasive puncture and drainage combined with small bone window craniotomy for removal of hematoma in the treatment of hypertensive intracerebral hemorrhage ( ICH) and the risk factors of postoperative rebleeding. Methods A total of 96 cases with hypertensive ICH admit-ted to our hospital from March 2014 to November 2016 were selected and randomly divided into observation group (n=48) and control group (n=48) according to different surgical methods. The patients in observation group were treated by minimally invasive puncture and drainage, whereas those in control group were treated by small bone win-dow craniotomy for removal of hematoma. The short-term clinical effects of the two groups were compared, and the in-fluencing factors of postoperative rebleeding were analyzed. Results The clinical effective rates of the observation group and the control group were 95.83％ and 93.75％, respectively, and the difference was not statistically signifi-cant (χ2 =0 .21 , P=0 .65 ) . Multiple factor logistic regression analysis showed that preoperative and postoperative systolic blood pressure, and duration between onset to operation were independent risk factors for postoperative re-bleeding in hypertensive ICH patients. Conclusion Minimally invasive puncture and drainage combined with small bone window craniotomy for removal of hematoma is effective in the treatment of hypertensive ICH. Therefore, medi-cal professionals should pay attention to risk factors for postoperative bleeding, which can effectively improve the sur-vival quality of the patients after operation.关键词
脑出血,高血压/疗效比较研究/危险因素Key words
Cerebral hemorrhage,hypertensive/Comparative effectiveness research/Risk factors分类
医药卫生引用本文复制引用
刘宇..微创穿刺引流与小骨窗血肿清除治疗高血压脑出血的临床效果及术后再出血危险因素分析[J].临床误诊误治,2018,31(6):64-67,4.基金项目
重庆市卫生科技计划项目(201529214) （201529214）
