硬通道微创颅内血肿清除术治疗高血压脑出血的临床研究

Clinical study on microlesion therapy for patients with hypertensive intracerebral hemorrhage

目的探讨应用硬通道微创颅内血肿清除术（微创术）治疗高血压脑出血的疗效。方法将90例高血压脑出血病人随机分成两组：微创组60例，对照组30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，手术后1、21天进行神经功能缺损评分并与对照组比较；并比较两组的远期疗效（日常生活活动能力）。结果微创组患者的痊愈率、显效率、神经功能缺损评分的下降、日常生活活动（ADL）量表Barthel指数（BI）均显著高于常规对照组。结论微创术治疗高血压脑出血较单纯内科保守治疗效果好。

Objective To investigate the therapy effective with microlesion transcrannial puncture for patients with hypertensive intracerebral hemorrhage. Methods 90 patients with hypertensive intracerebral hemorrhage were divided into two groups randomly;60 patients were treated with microlesion therapy and all of them were treated with routine methods as basic treatment. Score was made according to neuralfunction on the 1 st , 21 th days postoperatively, and it was also compared with control group. The effects at a specified future date （Activities of daily living, or ADL）of two groups were compared. Results The fully recovered rate,effctivity,decrease of neurofunctional score and Barthel indexes（BI） of activities of daily life（ADL） among the patients recieved microlesion therapy were significantly higher than those in control group. Conclusion The result of eliminating intracerebral hemorrhage using microlesion therapy is significantly better than that of tranditional medical therapy in the cases of hypertensive intracerebral hemorrhage.