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目的探讨超早期手术对重症高血压脑出血患者的影响。方法选取2014年3月—2016年3月黄石市第五医院收治的重症高血压脑出血患者120例,采用随机数字表法分为对照组和观察组,每组60例。对照组患者采取保守治疗,观察组患者采取超早期手术。比较两组患者治疗前后神经功能缺损评分标准(ESS)评分、Barthel指数(BI)评分,致残率及并发症发生率。结果两组患者治疗前ESS评分、BI评分比较,差异无统计学意义(P>0.05);观察组患者治疗后ESS评分、BI评分高于对照组(P<0.05)。观察组患者致残率低于对照组(P<0.05)。观察组患者多器官功能衰竭综合征、肺部感染、应激性溃疡发生率低于对照组(P<0.05)。结论超早期手术可有效促进重症高血压脑出血患者神经功能恢复,有利于降低患者致残率和并发症发生率。
Objective To investigate the effect of ultra-early surgery on patients with severe hypertensive intracerebral hemorrhage. Methods A total of 120 patients with severe hypertensive intracerebral hemorrhage admitted to the Fifth Hospital of Huangshi from March 2014 to March 2016 were randomly divided into control group and observation group with 60 cases in each group. Patients in the control group received conservative treatment and patients in the observation group received ultra-early surgery. Neurological deficit score (ESS) score, Barthel index (BI) score, disability rate and complication rate were compared between the two groups before and after treatment. Results There was no significant difference in ESS score and BI score between the two groups before treatment (P> 0.05). The ESS score and BI score of the observation group were higher than those of the control group after treatment (P <0.05). The morbidity in observation group was lower than that in control group (P <0.05). The incidence of multiple organ dysfunction syndrome, pulmonary infection and stress ulcer in observation group was lower than that in control group (P <0.05). Conclusion Ultra-early surgery can effectively promote the recovery of neurological function in patients with severe hypertensive intracerebral hemorrhage, which is beneficial to reduce the morbidity and complication rate of patients.