小骨窗开颅行颅内血肿清除术治疗高血压脑出血的效果

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Abstract [Abstract]Objective To explore the clearance of hematoma by craniotomy with small bone window in the treatment of hypertensive cerebral hemorrhage.Methods A total of 80 patients with hypertensive cerebral hemorrhage from January 2015 to January 2018 treated in our hospital were selected as research objects and they were divided into the observation group and the control group accroding to the random number table method,40 cases in each group.The control group was given the clearance of hematoma by craniotomy with big bone flap,and the observation group was given the clearance of hematoma by craniotomy with small bone window.Surgical related indicators(operation time,hospitalization time,intraoperative blood loss,hospitalization cost),Glasgow coma scale (GCS)score before and after surgery,modified Barthel index (MBI)score at 3 months after surgery and postoperative complications were compared between the two groups.Results The operation time and hospitalization time in the observation group were shorter than those in the control group,the intraoperative blood loss was less than that in the control group,the hospitalization cost was lower than that in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the preoperative GCS score between the two groups(P>0.05).The GCS scores after surgery of the two groups were significantly higher than those before surgery,and the differences were statistically significant(P<0.05).The GCS scores of the patients after surgery and the MBI scores at the 3 months after surgery in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence rate of complications in the observation group was 12.50%,which was lower than that in the control group (32.50%),and the difference was statistically significant(P<0.05).Conclusion Clearance of hematoma by craniotomy with small bone window has definite curative effect,and it can shorten the operation time and hospitalization time,reduce the intraoperative hemorrhage and postoperative complications,reduce medical costs,which is worthy of clinical application.

Key words： Hypertensive cerebral hemorrhage Clearance of hematoma by craniotomy with small bone window Clearance of hematoma by craniotomy with big bone flap Glasgow coma scale score Complications Modified Barthel index

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