CAJ | 학술논문

目的：探讨微创穿刺术治疗高血压基底节区中等量出血的临床疗效。方法选取我院2010年1月至2013年9月收治的高血压基底节区中等量脑出血患者96例为研究对象。随机分为对照组和实验组2组，每组各48例，对照组采用传统保守方法治疗，实验组采用微创穿刺术治疗，比较2组患者的临床疗效。结果实验组患者的良好率（64.58%）明显高于对照组患者（47.92%），实验组（6.25%）病死率明显低于对照组（10.42%），差异具有统计学意义（P＜0.05）。治疗后，实验组患者神经功能缺损评分明显低于对照组患者，差异具有统计学意义（P＜0.05）。治疗1周后，实验组患者的意识恢复率（75.00%）明显高于对照组患者（47.92%），差异具有统计学意义（P＜0.05）。结论微创穿刺可明显减小患者的神经功能缺失程度，改善患者预后，值得临床推广应用。
목적：탐토미창천자술치료고혈압기저절구중등량출혈적림상료효。방법선취아원2010년1월지2013년9월수치적고혈압기저절구중등량뇌출혈환자96례위연구대상。수궤분위대조조화실험조2조，매조각48례，대조조채용전통보수방법치료，실험조채용미창천자술치료，비교2조환자적림상료효。결과실험조환자적량호솔（64.58%）명현고우대조조환자（47.92%），실험조（6.25%）병사솔명현저우대조조（10.42%），차이구유통계학의의（P＜0.05）。치료후，실험조환자신경공능결손평분명현저우대조조환자，차이구유통계학의의（P＜0.05）。치료1주후，실험조환자적의식회복솔（75.00%）명현고우대조조환자（47.92%），차이구유통계학의의（P＜0.05）。결론미창천자가명현감소환자적신경공능결실정도，개선환자예후，치득림상추엄응용。
Objective To investigate the curative effect of minimally invasive craniopuncture therapy on patients with moderate hypertensive cerebral hemorrhage. Method 96 patients with moderate hypertensive basal ganglia hemorrhage were randomly divided into 2 groups:the control group and the exprerimental group. Each group had 48 cases. The control group was treated with traditional method and the experimental group was treated with minimally invasive craniopuncture therapy. Compare the clinical efifcacy of two groups of patients. Results The good rate of the experimental group (64.58%) was signiifcantly higher than that control group (47.92%). The mortality rate of experimental group (6.25%) was signiifcantly lower than the control group (10.42%). After treatment, scores of nerve function defect of patients in experimental group was signiifcantly lower than the control group, the difference was statistically signiifcant. The consciousness recovery rate of the experimental group (75.00%) was signiifcantly higher than that control group (47.92%). Conclusion Minimally invasive surgery could reduce the degree of neurological deifcits and improve the prognosis of patients. So it deserves to be promoted widely.