颅内血肿微创清除术治疗高血压脑出血与内科保守治疗对照分析

Clinical analysis on mini-invasion removal of intracranial hematoma in treatment of hypertensive cerebral hemorrhage

目的探讨CT定位颅内血肿微创清除术治疗高血压脑出血的临床疗效。方法将216例高血压脑出血患者按治疗方法的不同,分为颅内血肿微创清除术组(手术组)120例和内科保守治疗组(保守组)96例,两组患者给予常规治疗,包括吸氧、保持呼吸道通畅,降颅压,调整血压,预防感染、消化道出血、肾功能衰竭等并发症,维持水电解质平衡等。手术组另外行颅内血肿微创清除术。比较观察两组的临床疗效、并发症发生率及死亡率。结果手术组疗效明显优于对照组(P(0.001),手术组并发症发生率和死亡率比对照组明显减少(P(0.01)。结论采用CT定位颅内血肿微创清除术治疗高血压脑出血,明显提高基本治愈率,有效降低并发症发生率和病死率。

Objective To analyze the therapeutic effect of mini-invasion removal method of intracranial hematoma for treatment of hypertensive cerebral hemorrhage. Methods 216 patients with hypertensive cerebral hemorrhage were divided into operation group（ 120 cases）and conservative group （96 cases）according to whether the mini-invasion removal method was used or not. All patients received the conventional treatment,while the patients of operation group were treated with mini-invasion removal method of intracranial hematoma. The therapeutic effect, complication incidence rate and mortality of two groups were compared. Results The effect of operation group was superior to conservative group （P 〈 0.001 ）. The complication incidence rate and mortality of operation group were lower than those of conservative group（ P 〈 0.01 ）. Conclusion Mini-invasion removal method for intracranial hematoma could greatly increase cure rate and reduce complication incidence rate and mortality in treatment of hypertensive cerebral hemorrhage.