摘要
目的:观察微创清除术治疗高血压脑出血的疗效。方法:将56例高血压脑出血患者随机分成两组,对照组28例,微创清除组28例。对照组应用常规内科保守治疗,微创组在此基础上应用微创治疗,观察治疗前及治疗后4周两组神经功能缺损评分,并比较两组的远期疗效。结果:治疗组的痊愈率、显效率均明显高于对照组(P<0.05),4周后两组的神经功能缺损程度评分比较,微创清除术治疗组较内科治疗组明显降低(P<0.05);治疗组的日常生活活动量表Barthel指数显著高于对照组。结论:微创清除术治疗高血压性脑出血较单纯内科保守治疗效果好,可提高痊愈率,改善患者生存质量,值得推广。
Objective： To observe the minimally invasive treatment of hypertensive cerebral hemorrhage. Methods： 56 patients with hypertensive cerebral hemorrhage were randomly divided into two groups, control group 28 cases, 28 cases of minimally invasive group. The control group with conventional conservative treatment, minimally invasive group on the basis of minimally invasive treatment, observation and treatment for 4 weeks before and after treatment both groups neurological function and long-term outcome were compared. Results： The cure rate, markedly effective rate was significantly higher （P0.05）, 4 weeks after the two groups of neurological deficit scores compared minimally invasive surgery for the treatment group was significantly lower than medical treatment （P0.05）; the treatment group, activities of daily living scale were significantly higher barthel index. Conclusion： Minimally invasive surgery for hypertensive cerebral hemorrhage compared with conservative treatment alone effective to improve the cure rate, improve patient quality of life is worth promoting.
出处
《中国当代医药》
2010年第35期22-23,共2页
China Modern Medicine
关键词
微创清除术
高血压
脑出血
Minimally invasive surgery
Hypertension
Cerebral hemorrhage
