不同手术时机治疗高血压脑出血与术后再出血相关性研究

摘要

Objective:To investigate the correlation of rebleeding with different timing of surgery in hy-pertensive intracerebral hemorrhage .Method: 240 patients with HICH were divided into the ultra -early group (≤6h), early group (6-24h) and late group (≥24h) according to the operation time ,the efficacy and incidence of rebleeding were compared .Result: There were 30 cases with rebleeding ( 12.5 %) , and the rate in the ultra-early group was 20.83 %,and in early group was 11.20%and in the late group was 3. 84%, and that in ultra-early group was significantly higher than those in two groups (P<0.05), there were no significant difference in the early and late group ( P>0.05); there were no significant difference of the excellent rate and mortality in the three groups ( P>0.05) .Conclusion:The ultra-early surgery has a corre-lation with the postoperative rebleeding ,and the early surgery for qualified patients is a relatively safe and ef-fective timing .%目的：探讨不同手术时机治疗高血压脑出血与术后再出血相关性。方法：240例手术治疗的高血压脑出血（HICH）患者根据手术时间分为超早期组（≤6h），早期组（6-24h）及晚期组（≥24h），比较不同组别患者近期疗效及再出血发生率。结果：240例患者发生术后再出血30例，发生率为12．5％，其中超早期组为20．83％，早期组为11．20％，晚期组为3．84％，再出血发生率超早期组明显高于早期组与晚期组（P＜0．05），早期组与晚期组无明显差异（P＞0．05）；格拉斯哥预后评分（GOS）方面三组间优良率及死亡率两两比较未见明显差异（ P＞0．05）。结论：超早期手术治疗与术后再出血有关，对于符合条件的HICH患者，早期手术是较为安全且有效的手术时机。