CAJ | 학술논문

目的：探讨观察微创颅内血肿清除术对高血压性基底节区脑出血的疗效。方法将2010-09-2013-08于本院进行诊治的50例高血压性基底节区脑出血患者随机分为对照组（常规保守治疗组）25例和观察组（微创颅内血肿清除术）25例，将2组患者的并发症发生率、神经功能治疗效果及治疗前后的Barthel指数进行比较。结果观察组患者在并发症发生率、神经功能改善方面均明显好于对照组，治疗后Barthel指数也显著好于对照组，P均＜0.05，2组治疗后评估结果均有显著性差异。结论微创颅内血肿清除术对高血压性基底节区脑出血的疗效明显好于保守治疗，且并发症控制效果及生存能力改善效果也相对更好。
목적：탐토관찰미창로내혈종청제술대고혈압성기저절구뇌출혈적료효。방법장2010-09-2013-08우본원진행진치적50례고혈압성기저절구뇌출혈환자수궤분위대조조（상규보수치료조）25례화관찰조（미창로내혈종청제술）25례，장2조환자적병발증발생솔、신경공능치료효과급치료전후적Barthel지수진행비교。결과관찰조환자재병발증발생솔、신경공능개선방면균명현호우대조조，치료후Barthel지수야현저호우대조조，P균＜0.05，2조치료후평고결과균유현저성차이。결론미창로내혈종청제술대고혈압성기저절구뇌출혈적료효명현호우보수치료，차병발증공제효과급생존능력개선효과야상대경호。
Objective To investigate the effect of minimally invasive evacuation of intracranial hematoma on patients with hypertensive cerebral hemorrhage in basal ganglia. Methods Fifty patients with hypertensive cerebral hemorrhage in basal gan-glia in our hospital from September 2010 to August 2013 were randomly divided into control group (conventional conservative treatment group)with 25 cases and observation group(minimally invasive evacuation of intracranial hematoma group )with 25 ca-ses ,then the complication rate ,treatment effect of nerve function and Barthel indexes before and after treatment of two groups were compared.Results The complication rate and treatment effect of nerve function of observation group were both better than those of control group ,Barthel indexes after the treatment were significantly better than those of control group after the treatment ,all P<0.05 ,the evaluation results of two groups after the treatment all had significant differences. Conclusion The effect of minimally invasive evacuation of intracranial hematoma in the treatment of patients with hypertensive cerebral hemor-rhage in basal ganglia is better than that of conservative treatment ,and the control of complications and improvement of viability are relatively better ,too.