超早期微创治疗高血压脑出血临床对照研究

A contrast study on the minimally invasive operation for treatment of the hypertensive intracerebral hemorrhage in the superearly and early periods

目的总结超早期和早期微侵袭手术治疗92例高血压脑出血病人的救治经验。方法回顾性总结92例经微侵袭手术治疗的高血压脑出血病人的治疗经验。结果对存活的全部92例患者于出院3个月时按日常生活能力(ADL)分级法评价:Ⅰ级:超早期组10例(26.32%),早期组6例(11.11%);Ⅱ级:超早期组15例(39.47%),早期组18例(33.33%);Ⅲ级:超早期组9例(23.68%),早期组19例(35.19%);Ⅳ级:超早期组3例(7.89%),早期组8例(14.81%);V级:超早期组1例(2.63%),早期组3例(5.56%)。在疗效较好的Ⅰ～Ⅱ级病例中,超早期组多于早期组,两者对比有显著性差异(P<0.05)。结论超早期微侵袭手术治疗高血压脑出血病人可显著改善预后。

Objective To summarize the experience of the minimally invasive operation in treatment of the hypertensive intracerebral hemorrhage in the superearly and early periods. Methods 92 cases of hypertensive intracerebral hemorrhage patients who had undergone minimally invasive operation were summarized retrospectively. Results When the patients were evaluated with the Aetivities of Daily Living （ADL）Test 3 months after discharge ,the number of cases belonging to each Class was as follows：Class I ：superearly group 10eases （26.32%）,early group 6 cases （11.11%） ;Class II ： superearly group 15 cases （39.47%）,early group 18 cases （33.33%）; Class III ： superearly group 9 cases （23.68%）,early group 19 cases （35.19%）; Class IV： superearly group 3 cases （7.89%）,early group 8 cases （14.81%）; Class V ： superearly group 1 cases （2.63 %） ,early group 3 cases （5.56%）. In Classes I to II that had better therapeutic efficacy ,there were more cases of the superearly group than the early group. There was significant difference between the two groups （P〈0.05）. Conclusion The superearly minimally invasive operation can significantly improve the prognosis of hypertensive intracerebral hemorrhage.