微创颅内血肿清除术治疗高血压脑出血76例疗效观察

Observation of Curative Effect on 36 Cases of Cerebral Hemorrhage of Hypertension with Micro Intracranical Evacuation of Hematoma

目的:探讨微创颅内血压肿清除术治疗高血压脑出血的疗效。方法:将151例高血压脑出血患者分为A、B两组,其中A组:微创组76例;B组:内科保守治疗组75例。比较两组治疗后的有效率,死亡率。结果:内科保守治疗组有效率78.67%,死亡率为12%;微创组有效率90.66%,死亡率为5.26%。两组比较有显著性差异(P<0.05)。结论:微创颅内血肿清除术能提高有效率,降低死亡率。

Objective：To explore the curative effect of Cerebral Hemorrhage of Hypertension Treated with Micro Intracraniat Evacuation of Hematoma. Method： 151 patients with cerebral hemorrhage were divid- ed randomly into three groups. Comparison was made between the treatment group, 76 cases and the control group, 75 cases on the effective rate and the handicap. Result： The effective rate of the conservative treat- ment group is 78.67% and the handicap rate is 12% ; The effective rate of the microsurgery group is 90. 66% and the handicaps rate is 5.26%. There was significant difference between the groups （ P 〈 0. 05 ）. Conclusion： The minimal invasive surgery on cerebral hemorrhage has a better clinical outcome than the conservative treatment. The procedure reduces obviously mortality rate and increase the survival rate.