微创颅内血肿清除术治疗脑出血60例临床疗效观察  

Observation of the clinical effects of 60 patients with cerebral hemorrhage using micro-invasive paracentesis

作　　者：陈苏毅[1] 施雪英[1] 蒋鸣坤[1] 姚正鹏[1] 方毅[1] 周力军[1] 袁良津[1] 

机构地区：[1]安徽医科大学附属安庆医院,安庆246003

出　　处：《安徽医学》2011年第4期457-459,共3页Anhui Medical Journal

摘　　要：目的探讨微创颅内血肿清除术治疗脑出血的临床疗效。方法随机抽取微创血肿清除术(微创组)60例和内科保守治疗(对照组)60例病例进行临床比较。结果治疗前微创组与对照组在脑出血患者的NIHSS评分及BI评分方面比较差异均无统计学意义(P>0.05)。治疗后微创组的NIHSS评分改善55例(91.7%),高于对照组45例(75%);治疗后微创组的BI评分改善56例(93.3%),高于对照组47例(78.3%),差异均有统计学意义(P<0.05)。结论微创术治疗脑出血较内科保守治疗能改善患者的预后,值得临床推广。Objective To study the clinical effects and handling skills of micro-invasive paracentesis for intracranial hematoma.Methods Draw 60 cases for the micro-invasive group randomly and draw 60 cases for the conservative medical management group randomly.Effects of both groups were compared.Results Before treatment,after comparing the micro-invasive group with the control group,there were no significant differences in NIHSS scores and BI scores（P0.05）.After treatment,in NIHSS scores there were 55 cases of the micro-invasive group improved（91.7%）,higher than 45 cases of the control group improved（75%）.In BI scores there were 56 cases of the micro-invasive group improved（93.3%）,higher than 47 cases of the control group improved（78.3%）.There were statistically significant differences（P0.05）.Conclusion Compared with the conservative medical management,the micro-invasive paracentesis could improve prognosis of the patients with cerebral hemorrhage.It is a worthy of popularizing medical technology.

关 键 词：脑出血 微创颅内血肿清除术 治疗 脑水肿 

分 类 号：R651.1[医药卫生—外科学]