论文部分内容阅读
目的:比较大骨瓣开颅术与小骨瓣开颅术治疗高血压脑出血的临床效果。方法:抽取2018年2月至2020年1月苏州大学附属常熟医院收治的95例高压脑出血患者作为研究对象，采用双盲法将其分为A组(47例)和B组(48例)。A组给予大骨瓣开颅术，B组给予小骨瓣开颅术。比较两组患者手术一般指标、神经功能、日常生活能力、预后以及术后并发症。结果:B组手术用时、术后清醒时间短于A组，B组术中输血量低于A组(n P<0.05)；术后3个月美国国立卫生研究院卒中量表评分低于术前，且B组低于A组，术后3个月日常生活能力评定量表评分和格拉斯哥昏迷量表评分高于术前，且B组高于A组(n P0.05)。n 结论:与大骨瓣开颅术比较，小骨瓣开颅术治疗高血压脑出血患者，可缩短手术时间，减少术中出血量，并有助于患者术后清醒、神经功能恢复以及日常生活能力恢复，改善预后，安全性较高。“,”Objective:To compare the curative effect of large bone flap craniotomy and small bone flap craniotomy in the treatment of patients with hypertensive cerebral hemorrhage.Methods:Ninety-five patients with hypertensive intracerebral hemorrhage in Changshu Hospital Affiliated to Soochow University from February 2018 to January 2020 were collected and divided into group A (n n=47) and group B (n n=48) by double-blind method. Group A was given large bone flap craniotomy, group B was given small bone flap craniotomy. The general indexes of operation, neurological function, daily life capability, prognosis and postoperative complications were compared between the two groups.n Results:The operation time and wake-up time in group B were shorter than those in group A, the intraoperative blood transfusion volume in group B was lower than that in group A (n P<0.05); National Institute Health of Stroke Scale score at 3 months after operation was lower than that in group A, and that in group B was lower than that in group A; activities of daily living score and Glasgow coma scale score in group B were higher than those before operation, and those in group B were higher than those in group A (n P0.05).n Conclusions:Compared with large bone flap craniotomy, small bone flap craniotomy in patients with hypertensive cerebral hemorrhage can shorten the operation time, reduce the amount of intraoperative blood loss, contribute to the recovery of postoperative consciousness, neurological function and the ability of daily living, improve the prognosis, with high safety.