Objective To investigate the efficacy of small window craniotomy and routine craniotomy operation in the treatment of hypertensive cerebral hemorrhage. Methods 82 cases of patients with hypertensive cerebral hemorrhage in our hospital from February 2012 to March 2014 were selected as research objects,and were randomly divided into con-trol group and observation group,41 cases in each group,the control group were underwent conventional craniotomy op-eration treatment,the observation group were taken with small bone window operation treatment,the effect of treatment of the two groups was analyzed. Results In the observation group,the operation time and hospitalization time was shorter than that of the control group,the intraoperative blood loss was less than that of the control group,the difference was sig-nificant (P<0.05);the good recovery rate of observation group was 68.29%,higher than 41.46% of the control group,the outcome of observation group was better than that of the control group,the difference was significant (P<0.05). Conclu-sion Small bone window operation in treatment of hypertensive cerebral hemorrhage has high safety,can reduce the in-jury of operation,promote the postoperative recovery,is conducive to the long-term outcome,is worth to be popularized in clinical use.%目的：探讨小骨窗与常规骨瓣开颅手术治疗高血压脑出血的临床效果。方法选择本院2012年2月~2014年3月收治的82例高血压脑出血患者为研究对象，随机分为对照组和观察组各41例，对照组行常规骨瓣开颅手术治疗，观察组行小骨窗手术治疗，比较两组的治疗效果。结果观察组手术时间、住院时间短于对照组，术中出血量少于对照组，差异有统计学意义（P<0.05）；观察组恢复良好率为68.29%，对照组为41.46%，观察组预后结局显著优于对照组，差异有统计学意义（P<0.05）。结论小骨窗手术治疗高血压脑出血，安全性高，可减少手术损伤，促进患者术后恢复，有利于远期预后结局，值得临床进一步推广应用。
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