98例立体定向穿刺治疗少量高血压基底节脑出血患者效果观察

The effect observation of stereotactic puncture in the treatment of 98 cases of little hemorrhage of basal ganglia caused by hypertension

目的 探讨使用立体定向穿刺治疗少量高血压基底节脑出血的临床价值.方法 收集98例少量（10～25 ml）高血压基底节脑出血患者临床资料,其中50例选择立体定向穿刺治疗,48例采用保守治疗,分组对照分析血肿吸收时间、住院天数、住院费用、6个月GOS评分等.结果 立体定向穿刺治疗组患者平均血肿吸收时间6～9天、住院天数平均2周、住院费用约16000元左右,6个月GOS评分5分33例、4分17例；保守治疗组患者平均血肿吸收时间14～21天、住院天数平均3周、住院费用约18 000元左右,6个月GOS评分5分15例、4分33例.结论 对于少量高血压基底节脑出血患者,立体定向穿刺治疗创伤小,能缩短血肿吸收时间及住院天数,对患者功能康复有促进作用,比保守治疗有更好的疗效.

Objective To investigate the clinical value of stereotactic puncture in the treatment of little hemorrhage of basal ganglia caused by hypertension.Methods 98 cases of little （10-25 ml） hemorrhage of basal ganglia caused by hypertension were collected,50 cases undergoing stereotactic puncture treatment,48 cases undergoing conservative treatment.Compared and analyzed hematoma absorption time,hospitalization days,hospitalization expenses,GOS score after 6 months.Results In stereotactic puncture group,the average hematoma absorption time was 6-9 days,the average hospitalization time was 2 weeks,hospitalization expense was about 16,000 yuan,there were 33 cases of GOS score 5 and 17 cases of score 4.In conservative treatment group,the average hematoma absorption time was 14-21 days,the average hospitalization time was 3 weeks,hospitalization expense was about 18,000 yuan,there were 15 cases of GOS score 5 and 33 cases of score 4.Conclusions Stereotactic puncture in the treatment of little （10-25 ml） hemorrhage of basal ganglia caused by hypertension is effective,with little injury,shorter hematoma absorption time and hospitalization days,which can promote rehabilitation of function,is better than conservative treatment.