186例高血压脑出血治疗效果分析

To study the therapeutic effect for hypertensive cerebral hemorrhage in 186 cases

目的 :比较微创术、开颅血肿清除术、内科保守治疗对高血压脑出血患者的疗效影响。方法 :将 186例大量脑出血患者分成 3组 ,A组微创穿刺引流术 6 2例 ,B组开颅血肿清除术 5 9例 ,C组内科保守治疗 6 5例 ;对治疗效果采用Glasgow结局量表进行GOS分级评定。结果 :A组在病死率、重度致残率方面明显低于B组、C组 ,康复良好率优于B组、C组 (P <0 .0 1)。结论 :微创穿刺引流术治疗高血压脑出血疗效好 ,手术安全、简单、对脑组织损伤小。有别于传统治疗方法。

Objective: To compare the therapeutic effect about micro-injury operation、 scavenging intracerebral hemorrhage and no-surgical treatment for patients with hypertensive cerebral hemorrhage. Method: 186 patients with hypertensive cerebral hemorrhage were divided into 3 groups : the 62 cases accepted micro-injury operation in A group, the 59 cases accepted scavenging intracerebral hemomhage in B group, the 65 cases accepted no-surgical treatment in C group. The results were assessed on Glasgow coma scale.Result: The fatality rate and disability rate were significantly decreased in A group compared with the other groups , The healing rate in A group was much higher than the other groups(P<0.01). Conclusion: The micro-injury operation is safe and efficient in the treatment of hypertensive cerebral hemorrhage.