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目的探讨显微外科在急进性高血压病脑出血中的应用效果。方法我院2009年3月～2012年3月收治的高血压病脑出血患者140例,将其随机分为两组,其中70例为试验组,采用小骨窗显微手术治疗;另70例为对照组,采用传统大骨瓣开颅术。比较两组手术效果。结果试验组治疗3个月后疗效优良率为82.86%,明显高于对照组的67.14%;术后72h试验组的不良反应发生率为4.29%显著低于对照组的8.57%,差异均具有统计学意义(P<0.05)。结论显微外科在急进性高血压病脑出血的治疗相比于传统治疗不仅可以提高治疗效果也可以减少并发症发生,值得在临床上推广。
Objective To investigate the effect of microsurgery on cerebral hemorrhage in patients with hypertensive essential hypertension. Methods A total of 140 patients with hypertensive intracerebral hemorrhage admitted to our hospital from March 2009 to March 2012 were randomly divided into two groups, of which 70 patients were treated by microsurgical treatment of small bone window. The other 70 patients were Control group, using the traditional large bone craniotomy. Compare the two groups of surgical results. Results After 3 months of treatment, the excellent and good rate of the trial group was 82.86%, which was significantly higher than that of the control group (67.14%). The adverse reaction rate of the experimental group was significantly lower than that of the control group (4.29%) at 72 hours Significance (P <0.05). Conclusion Microsurgery in the treatment of patients with hypertensive cerebral hemorrhage can not only improve the therapeutic effect but also reduce the complications compared with the traditional treatment, which is worth to be popularized clinically.