CAJ | 학술논문

目的：比较颅内血肿微创清除技术与内科保守治疗高血压脑出血的临床疗效。方法收集高血压性脑出血患者75例，根据治疗方式不同随机分为药物治疗组38例及微创治疗组37例，其中微创治疗组在标准药物治疗的基础上，接受微创治疗，即采用最小侵入操作清除血肿。采用国立卫生研究院（NIHSS）评分对两组患者治疗前后3、6周的神经功能缺损及自理能力恢复情况评分，应用平均微小各向异性值（fractional anisotropy ，FA）评估弥散张量成像（DTI）术前和术后2周的变化。结果微创治疗组与药物治疗组患者，在治疗前神经功能缺损差异无统计学意义，在治疗后微创治疗组神经功能缺损程度及肌力恢复明显，两组比较差异有统计学意义（P＜0．05）。结论微创血肿清除术是治疗高血压脑出血的有效方法。
목적：비교로내혈종미창청제기술여내과보수치료고혈압뇌출혈적림상료효。방법수집고혈압성뇌출혈환자75례，근거치료방식불동수궤분위약물치료조38례급미창치료조37례，기중미창치료조재표준약물치료적기출상，접수미창치료，즉채용최소침입조작청제혈종。채용국립위생연구원（NIHSS）평분대량조환자치료전후3、6주적신경공능결손급자리능력회복정황평분，응용평균미소각향이성치（fractional anisotropy ，FA）평고미산장량성상（DTI）술전화술후2주적변화。결과미창치료조여약물치료조환자，재치료전신경공능결손차이무통계학의의，재치료후미창치료조신경공능결손정도급기력회복명현，량조비교차이유통계학의의（P＜0．05）。결론미창혈종청제술시치료고혈압뇌출혈적유효방법。
Objective To compare the clinical efficacy of minimally invasive removal of intracranial hematomas and medical con-servative treatment for hypertensive cerebral hemorrhage .Methods A total of 75 patients with hypertensive cerebral hemorrhage were collected and randomly divided into two groups according to the treatments :38 patients treated with conservative medicine and 37 patients treated with minimally invasive removal of intracranial hematomas based on standard drug therapy .Neurological impair-ment and recovery of self-care ability of patients in both groups before and after three weeks and six weeks of treatment were scored by National Institute of Health Stroke Scale (NIHSS) .Changes of diffusion tensor imaging before treatment and after two weeks of treatment were evaluated by fractional anisotropy value (FA) .Results There was no significant difference between neurological im-pairments of the patients in two groups before treatment .But the recovery degree of functional impairment and muscle nerve in min-imally traumatic treatment group was more significant than those in the conservative medical treatment group after treatments . There was significant difference between two groups (P< 0 .05) .Conclusion Minimally traumatic of hematomas is an effective method of treating hypertensive intracerebral hemorrhage .