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目的探讨不同手术时机对高血压脑出血患者术后再出血的影响。方法收集许昌市人民医院2014年12月—2015年12月期间收治的118例高血压性脑出血患者的临床资料,根据手术时机的不同将118例患者分为超早期组(n=40)、早期组(n=43)、延期组(n=35),超早期组在脑出血发生后6h内实施手术,早期组在脑出血发生后6~24h内实施手术,延期组在脑出血发生24h后实施手术,评估三组患者手术效果,统计三组患者术后再出血发生率,并行统计学对比。结果超早期患者手术效果优良率92.5%、术后再出血发生2例,早期组为88.4%、再出血发生3例,延期组为82.9%、再出血发生5例,三组数据相比差异两两存在统计学意义(P<0.05)。结论对高血压脑出血患者尽早实施手术治疗不但可以提高手术效果,还能降低术后再出血发生率,改善预后,值得临床推广应用。
Objective To investigate the effect of different operation timing on postoperative hemorrhage in patients with hypertensive intracerebral hemorrhage. Methods The clinical data of 118 patients with hypertensive intracerebral hemorrhage admitted from December 2014 to December 2015 in Xuchang People’s Hospital were collected. 118 patients were divided into ultra-early stage group (n = 40) In the early group (n = 43), the delayed group (n = 35), the ultra early group was operated within 6 hours after the intracerebral hemorrhage. The early group operated within 6 to 24 hours after the intracerebral hemorrhage. After the operation, the operation effect of three groups of patients was evaluated. The incidences of postoperative hemorrhage in three groups were statistically analyzed. Results The excellent and good rate of operation was 92.5% in ultra early stage, 2 cases of postoperative hemorrhage, 88.4% in early stage, 3 in rebleeding, 82.9% in delayed group and 5 in rebleeding. There were significant differences between the two groups Two statistically significant (P <0.05). Conclusion Early surgical treatment of patients with hypertensive intracerebral hemorrhage not only can improve the surgical effect, but also reduce the incidence of postoperative bleeding and improve prognosis, which is worthy of clinical application.