高血压合并脑出血的临床诊治分析 开丽比努尔.如苏力.docVIP

精品论文 参考文献 高血压合并脑出血的临床诊治分析 开丽比努尔.如苏力 开丽比努尔?如苏力 　　（新疆伽师县人民医院 新疆 伽师 844300） 　　【摘要】 目的：分析高血压合并脑出血的临床诊治特点。方法：选择82例高血压合并脑出血患者，其中有41例患者接受小骨窗开颅手术治疗（对照组），有41例患者接受颅内血肿清除术治疗（观察组），分析其临床特点，并评价其治疗效果。结果：观察组术中出血量、手术时间优于对照组，差异有统计学意义（Plt;0.05）；观察组生存质量优良率（92.68%）高于对照组（73.17%），差异有统计学意义（Plt;0.05）。结论：高血压合并脑出血症状不明显，需加强日常监测与控制，同时采取颅内血肿清除术治疗的疗效较好，可作为高血压合并脑出血首选治疗方法。 　　【关键词】 高血压；脑出血；诊治特点 　　【中图分类号】R544.1 【文献标识码】A 【文章编号】2095-1752（2016）21-0027-02 　　Analysis of clinical diagnosis and treatment of hypertensive patients with cerebral hemorrhage Cailibinuer Rusuli. The Peoples Hospital of Jiashi County, Xinjiang, Jiashi 844300, China 　　【Abstract】Objective To analyze the characteristics of clinical diagnosis and treatment of hypertension complicated with cerebral hemorrhage. Methods 82 cases of patients with hypertensive cerebral hemorrhage were selected, including 41 cases of patients were treated with small bone window craniotomy treatment (control group), 41 cases of patients with intracranial hematoma treatment (observation group) and analysis of its clinical features, and to evaluate the effect of treatment. Results Observation group, intraoperative bleeding volume, operation time was better than the control group, the difference is statistically significant (P lt; 0.05); observation group survival quality excellent rate (92.68%) is higher than the control group (73.17%), and the difference is statistically significant (P lt; 0.05). Conclusion Hypertension complicated with cerebral hemorrhage symptoms is not obvious, the need to strengthen daily monitoring and control, and to take effective treatment of intracranial hematoma, may be the first choice for the treatment of hypertension with cerebral hemorrhage methods. 　　【Key words】Hypertension; Cerebral hemorrhage; Diagnosis 　　高血压合并脑出血是临床常见的急重症之一，多见于老年人，病死率、致残率较高。由于该病的发病原因较为复杂，目前尚无特效治疗方案，临床主要采取手术治疗，以达到减轻脑组织压迫的目的。由此，本文对2014年2月～2015年2月期间收治的高血压合并脑出血的临床资料进行分析，旨在为高血压合并脑出血的诊治提供参考。 　　1.资料与方法 　　1.1 临床资料 　　选择82例高血压