颅内血肿微创穿刺粉碎清除术治疗重症高血压脑出血31例的临床研究  

CLINICAL STUDY OF 31 CASES OF MINI INVASIVE INTRACRANIAL HEMATOMA TREATMENT FOR SEVERE HYPERTENSIVE INTRACEREBRAL HEMORRHAGE

作　　者：曾超胜[1] 蔡毅[1] 车杰敏 吴映曼[1] 黄佳丽[1] 

机构地区：[1]海南省农垦总局医院神经内科,海口570311

出　　处：《现代预防医学》2010年第11期2189-2190,共2页Modern Preventive Medicine

摘　　要：[目的]观察颅内血肿微创穿刺粉碎清除术治疗重症高血压脑出血的疗效。[方法]对近3年开展此项技术前脑出血患者,即微创组(31例),对照组(33例),分别观察治疗后1周内意识恢复率及1个月后疗效,前瞻性分析两组病人的临床治疗效果。[结果]微创组疗效有效率为(86.7%)及意识恢复率为(77.4%)明显优于对照组(54.5%、42.4%)两者差异有统计学意义(P﹤0.01)。[结论]颅内血肿微创穿刺粉碎清除术治疗重症高血压脑出血的疗效明显优于对照组,能明显提高有效率、降低死亡率和促使意识早期恢复.且操作简便、损伤小、安全性好,适宜推广和应用。[Objective] To observe the mini invasive intracranial hematoma treatment for severe hypertensive cerebral hemorrhage. [Methods] Patients of cerebral hemorrhage with the technology in last 3 years, it was minimally invasive group （31 cases）, the control group （33 cases） were as objects, observed the recovery rate of awareness in 1 week after treatment and the curative effect after 1 month, prospective analysis were used in both groups to analyze clinical treatment of patients. [Results] Clinical effective rate of minimally invasive group （86.7%） and awareness of recovery rate （77.4%） were higher than the control group （54.5%, 42.4%）, and the difference was significant between the two groups （P﹤0.01）. [Conclusion] Mini invasive intracranial hematoma treatment for severe hypertensive cerebral hemorrhage is better than the control group, it significantly improve efficiency, reduce mortality and promote awareness of early recovery, and is easy to operate, mini damage, safer, and suitable for the promotion and application.

关 键 词：血肿微创穿刺粉碎清除术 重症高血压脑出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]