高血压脑出血微创治疗及早期康复的临床探讨

Effects of mini-invasive surgery and the early rehabilitation of neurological function in treating hypertensive intracerebral hemorrhage

目的:探讨微创颅内血肿清除术在高血压脑出血治疗中的优越性及其神经功能早期康复的疗效。方法:将74例高血压脑出血患者分为治疗组与对照组。治疗组:治疗组36例,在内科治疗基础上行CT片定位法微创颅内血肿清除术;对照组:内科保守治疗组38例。比较两组患者治疗后的有效率、病死率和治疗前后神经功能缺损评分。结果:对照组有效率为44.7%,病死率为21.1%,治疗组有效率88.9%,病死率为5.6%。两组比较有显著性差异(P<0.05)。比较两组术后神经功能缺损评分也有显著性差异(P<0.05)。结论:微创颅内血肿清除术在高血压脑出血治疗中能提高有效率、降低病死率,结合早期康复治疗能促进神经功能恢复。

Objective： To observe the effect of mini-invasive surgery and the early rehabilitation of neurological function in treating hypertensive intracerebral hemorrhage（HICH）. Methods： 74 cases with HICH were divided into therapy group and control group. 36 cases in therapy group received mini-invasive surgery medical treatment, 38 cases in the control group received medicine treatment. The effective rate, mortality and neurological deficit scale of two groups were compared.Results： The effective rate and mortality in treatment group were 88. 9 % and 5.6% respectively,which were significantly different from those of the control group （44. 7 % and 21.1 %）. Conclusions： The mini-invasive surgery evacuation of hematoma can improve the effective rate and decrease mortality,and can promote the recovery of neurological function combining with early rehabilitation.