120例高血压脑出血急诊微创手术治疗的临床研究

Clinical research of emergency minimally invasive surgery in the treatment of 120 hypertensive intracerebral hemorrhage patients

目的观察高血压脑出血急诊患者微创手术治疗方法及疗效。方法 120例高血压脑出血急诊患者作为观察组,对其进行微创手术;另外100例高血压脑出血患者作为对照组,对其进行保守方法治疗,观察两组临床治疗效果。结果两组治疗前神经功能缺损积分比较差异无统计学意义(P>0.05),两组治疗后均显著改善(P<0.05),且观察组优于对照组(P<0.05)。治疗后观察组总有效率为83.3%,明显高于对照组的49.0%(P<0.05)。结论采用微创手术治疗高血压脑出血的疗效要比保守治疗效果好,值得推广使用。

Objective To observe treatment measures and curative effects by emergency minimally invasive surgery for hypertensive intracerebral hemorrhage patients. Methods There were 120 emergent hypertensive intracerebral hemorrhage patients as observation group receiving minimally invasive surgery, and another 100 hypertensive intracerebral hemorrhage patients as control group receiving conservative therapy. Clinical effects of both groups were observed. Results There was no statistically significant difference of nerve function deficit scores between the two groups before treatment（P〉0.05）. After treatment, both groups had remarkable improvement（P〈0.05）, and improvement in the observation group was better than the control group（P〈0.05）. The observation group had much higher total effective rate as 83.3% than 49.0% in the control group（P〈0.05）. Conclusion Implement of minimally invasive surgery provides better effect in treating hypertensive intracerebral hemorrhage than conservative therapy. This method is worth promoting and applying.