不同手术时机治疗基底节内侧型脑出血的效果比较

To compare the effects of different timing of surgery in the treatment of medial basal ganglia hemorrhage

目的对比研究不同手术时机治疗基底节内侧型脑出血的效果。方法分析2008年至2013年我院神经外科收治的75例基底节内侧行脑出血患者的临床资料。结果3组患者的血肿量、GCS评分和神经功能缺损评分比较差异无统计学意义（P〉0．05），但是治疗的总有效率（84％、76％、48％）和死亡率（4％、12％、20％）、术后并发症发生率（24％、40％、56％）、术后1个月日常生活能力量表（ADL）评分比较差异有统计学意义（P〈0．05）。结论早期治疗基底节内侧型脑出血能够有效改善患者的神经功能缺损，提高治疗的总有效率，降低死亡率和术后并发症发生率。

Objective Tocompare and study the effects of different timing of surgery in the treat ment of medial basal ganglia hemorrhage. Methods The clinical data of 75 cases of patients with medial basal ganglia hemorrhage who had been treated in our hospital from 2008 to 2013 were analyzed. Results The differences of hematoma volume and GCS scores and neurological deficit scores of the three groups of patients were not statistically significant （P 〉 0.05 ）, but the differences of total treatment efficiency （84%, 76%, 48% ）and mortality （4%, 12%, 20% ）, incidence of postoperative complications （24%, 40%, 56% ）, postoperative 1 month ADL score were statistically significant （ P 〈 0. 05 ）. Conclusion Early treatment of medial basal ganglia hemorrhage can effectively improve the patient＇ s neurological defi cit, improve the treatment of the total efficiency, reduce mortality and incidence of postoperative complica tions.