高血压脑出血个体化治疗分析

ANALYSIS OF INDIVIDUALIZED TREATMENT TO HYPERTENSIVE CEREBRAL HEMORRHAGE

目的:探讨高血压脑出血的个体化治疗方法。方法:回顾性分析我科2000年-2003年治疗的97例幕上高血压脑出血的临床资料。结果:97例患者中,47例采用开颅手术(开颅手术组)、50例采用锥孔穿刺引流术(穿刺引流组)。近期总优良率为30.35%,死亡率为19.36%;开颅手术组近期优良率为19.15%,穿刺引流组近期优良率为34.00%。远期总优良率为69.8%,死亡率为3.56%;开颅手术组远期优良率为62.07%,穿刺引流组远期优良率为81.36%。结论:高血压脑出血的治疗应根据病人病情进行综合分析,选用个体化治疗方案,从而有效降低死亡率和致残率,提高临床治疗效果。

Objective：To investigate individualized treatment to hypertensive cerebral hemorrhage.Methods： The clinical data of 97 cases hypertensive cerebral hemorrhage above tentorium were retrospectively analyzed from 2000 to 2003.Results：Among 97 patients,47 cases were performed cranitomy （cranitomy group）,50 cases performed puncture and drainage with countersunk （drainage group）.The recent total effective rate was 30.35%, death rate was 19.36%;while the recent effective rate of cranitomy group was 19.15%,drainage group was 34. 00%.The long-term total effective rate was 69.80%,death rate was 3.56%;while the long-term effective rate of cranitomy group was 62.07%,drainage group was 81.36%.Conclusions：Treatment to hypertensive cerebral hemorrhage patients should be synthetically analyzed and should adopt individualized treatment. So to decrease death rate and mutilation rate,increase clinical treatment effectiveness.