摘要
目的：探讨脑出血早期微创血肿清除术的治疗效果。方法：312例高血压脑出血患者随机分为2组,保守组149例,给予控制血压、脱水、降低颅内压、改善脑循环、脑保护剂及防治并发症和功能锻炼等常规治疗措施。微创组163例,在保守组治疗的基础上进行颅内血肿微创清除术。比较2组发病4周和6个月的治疗效果。结果：保守组、微创组发病4周时优良率分别为61.07%、94.48%,微创组明显高于保守组（P〈0.05）;死亡发生率分别为8.05%、1.84%,微创组明显低于保守组（P〈0.05）;发病6个月时完全恢复日常生活分别占44.53%、78.75%,微创组明显高于保守组（P〈0.05）。结论：脑出血30-80ml者采用早期微创血肿清除术治疗的效果优于保守治疗。
Objective： Study the on efficacy of mini-invasive evacuation of hemotoma early. Methods： 312 caeses of confirmed hypertensive cerebral hemorrhage were allocated to one of two groups at romdoms, conservative group （n = 149） the therapy of coutroling blood pressure, drawing on water, lower cerebral pressure, improving cerebral circulating, cerebral presevehy, preveuting complaiut and physical exercise. Mini-invasion group （n = 163）, received the mini-invasive evacuation of hematoma at the base of couservarive therapy. To compare the efficacy of two groups, after 4 weeks and 6 months. Results： After 4 weeks, the supreme rate of conservative group, mini-invasive group were 61.07% and 94.48%rseperately. The supreme patients of mini-invasive group were more than conservative group （P 〈0.05）. The death rates of mini-invasive, conservative group were 8. 05% and 1. 84%the death rate of mini-invasive was lower than conservative group （P〈0.05）. After 6 months, restorative living of patients in two groups account for 44.53%and 78.75%, mini-invasive was higher than the conservative group （P〈0.05）. Conclusion： The efficacy of mini-invasive evacuation of 30--80 ml volume hemotoma is more exellent than conservative therapy early in loyperteusive apoplexy.
出处
《新疆医科大学学报》
CAS
2007年第8期848-850,共3页
Journal of Xinjiang Medical University
关键词
脑出血
高血压
微创血肿清除术
疗效
apoplsxy
hypertenision
mini-invasive evacuation of hematoma
efficacy
