微创血肿引流术治疗老年人重型脑出血的效果评价

Efficacy of minimal injury puncture drainage in treatment of senile severe cerebral hemorrhage

目的 探讨老年人重型脑出血的有效治疗方法。方法 采用微创引流清除血肿的方法治疗了 35例患者 ,同时选择与之相匹配的、同期住院的、只行内科治疗的老年人重型脑出血患者 4 0例作对照。结果 微创治疗组的总有效率 (77.14 % )及BarthelIndexes(BI) (6 2 .2 1± 2 6 .5 8分 )均明显高于内科治疗组 (P <0 .0 5 ) ,并且其脑疝发生率(2 2 .86 % )及消化道出血发生率 (2 2 .86 % )明显低于内科治疗组 (P <0 .0 5 )。

Objective To study the effective treatment of senile severe cerebral hemorrhage.Methods The method of minimal injury puncture drainage was used in a total of 35 cases of senile severe cerebral hemorrhage and compared with only medical treatment used in 40 matched cases of the same disease.Results The total effective rate and Barthel Indexes of minimal injury puncture drainage group were significantly higher than those of the medical treatment group(P<0.05).In addition,the incidences of cerebral herniation and gastrointestinal bleeding in this group were significantly lower than those in the medical treatment group(P<0.05).Conclusion Minimal injury puncture drainage can be a safe and effective method for treatment of senile severe cerebral hemorrhage.