小骨窗开颅术与钻孔引流术治疗高血压脑出血患者的临床 效果及对血清皮质醇、促肾上腺皮质激素水平的影响

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分类号：R197.3

文献标识码：A DOI：10.3969/j.issn.1006-1959.2025.13.022

文章编号：1006-1959（2025）13-0116-05

Abstract：ObectiveTaalyetheclinicalfectofmallbonewindowcaniotomyanddrilingdainageithetreatmentofpatintswith hypertensiveceebralmoagenditstoucortiolddreocortotopicelvelsMetosAtotalofpatintsih hypertensivecerebralemorhageadmitedtoLe'anCoutyHspialofTraditioalChineseMedicinefroJanuary2toDecember2ere selectedathsehetscodingtodumberableodyeiiedtootrolgonduyoupitit ineachgroup.otroloasratedialledoaotoatoaoalndesdsteatedito drlligndealiosi hosptalzatie （ACTH，NE，Cor）werecomparedbetweenthetwogroups.ResultsComparedwiththetotalefectiverateofthecontrolgroup（ 74.19% ），thetotal effectiverate of the study group was higher（96.77 % ）（ P <0.05）.Compared with the control group，the intraoperative blood loss，operation time， postoperativebed timeand hospitalization time of the study group were lower（ P< 0.05）.Compared with before treatment，theNIHSS and GCS scores of thetwogroupsftetreateeedopadithotrolgoupteSdGCsorsoftesudgoupftertreate better（ P<0.05） .Compared with before treatment，the levelsof hs-CRP，PCTand TNF- ∇⋅ααα. in the two groups after treatment were lower，and compared with the control group，the levelsof hs-CRP，PCTand TNF- ∇⋅α∝ in the study group after treatment were lower（ P <0.05）.Compared with before treatment，thelesofndCineoosrefetoaediotoouteesfE andACTHindoeoO）.CousioItofrtesieebalodilgao beterclinicaldvantagesthansallnewndoaniotomyoughpreciseandimallivasiveperatiotissurgicaloduean fctieiea reduce the degree of inflammation and stressresponse，which has important clinical application value.

Keywords：alloiie;ealogoldoco

高血压脑出血（hypertensivecerebral hemor-rhage）为神经外科领域一种突发且进程迅速的病症，患者在1个月内的死亡率可高达 35%～52% ，而在6个月后的幸存者中，大约 80% 的患者将面临残疾[。（剩余6706字）