超早期与早期微侵袭手术治疗老年性高血压脑出血的对比研究

A contrast study on the minimally invasive operation for treatment of the senile 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 6 2例老年性高血压脑出血病人的救治经验。方法 回顾性总结6 2例经微侵袭手术治疗的老年性高血压脑出血病人的治疗经验。结果 死亡 5例 ,对存活的 5 7例于出院 3个月时按日常生活能力 (ADL)分级法评价 :Ⅰ级 :超早期组 12例 (35 .2 9% ) ,早期组 4例 (17.39% ) ;Ⅱ级 :超早期组 12例(35 .2 9% ) ,早期组 4例 (17.39% ) ;Ⅲ级 :超早期组 5例 (14.71% ) ,早期组 5例 (2 1.74% ) ;Ⅳ级 :超早期组 3例(8.82 % ) ,早期组 6例 (2 6 .0 9% ) ;Ⅴ级 :超早期组 2例 (5 .88% ) ,早期组 4例 (17.39% )。在疗效较好的Ⅰ～Ⅲ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 .0 5 )。

Objective To summarize the experience of the minimally invasive operation in treatment of the senile hypertensive intracerebral hemorrhage in the superearly and early periods.Methods 62 cases of senile hypertensive intracerebral hemorrhage patients who had undergone minimally invasive operation were summarized retrospectively.Results When the patients were evaluated with the Activities of Daily Living (ADL) Test 3 months after discharge,the number of cases belonging to each Class was as follows:Class Ⅰ:superearly group 12 cases (35.29%),early group 4 cases (17.39%);Class Ⅱ: superearly group 12 cases(35.29%),early group 4 cases (17.39%); Class Ⅲ: superearly group 5 cases (14.71%),early group 5 cases (21.74%); Class Ⅳ: superearly group 3 cases(8.82%),early group 6 cases(26.09%); Class Ⅴ: superearly group 2 cases (5.88%),early group 4 cases (17.39%).In Classes Ⅰto Ⅲ 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 senile hypertensive intracerebral hemorrhage.