CAJ | 학술논문

目的：观察超早期（≤6 h）多靶点微创钻颅治疗重症高血压脑出血的临床疗效。方法选取384例重症高血压脑出血患者，其中224例采用超早期多靶点微创钻颅引流术治疗，与160例非超早期手术患者对比，观察术后疗效，并跟踪随访6个月评定患者日常生活能力（ADL）。结果224例超早期手术患者术后存活201例，有效率为89．73％；ADL评定：Ⅰ级21例，Ⅱ级46例，Ⅲ级83例，Ⅳ级36例，Ⅴ级15例；其中Ⅰ～Ⅲ级150例，良好占74．63％，其有效率及预后显著高于对照组。结论对于重症高血压脑出血患者行超早期多靶点微创钻颅引流术治疗具有创伤小，迅速减轻脑损伤，术后恢复良好，并发症少等优点，能明显降低致残、致死率，提高患者的生存质量。
목적：관찰초조기（≤6 h）다파점미창찬로치료중증고혈압뇌출혈적림상료효。방법선취384례중증고혈압뇌출혈환자，기중224례채용초조기다파점미창찬로인류술치료，여160례비초조기수술환자대비，관찰술후료효，병근종수방6개월평정환자일상생활능력（ADL）。결과224례초조기수술환자술후존활201례，유효솔위89．73％；ADL평정：Ⅰ급21례，Ⅱ급46례，Ⅲ급83례，Ⅳ급36례，Ⅴ급15례；기중Ⅰ～Ⅲ급150례，량호점74．63％，기유효솔급예후현저고우대조조。결론대우중증고혈압뇌출혈환자행초조기다파점미창찬로인류술치료구유창상소，신속감경뇌손상，술후회복량호，병발증소등우점，능명현강저치잔、치사솔，제고환자적생존질량。
Objective To explore the clinical curative effect of minimally invasive drilling cranial for severe hypertensive in -tracerebral hemorrhage (SHIH) in ultra-early stage (≤6 h).Methods Minimally invasive drilling cranium drainage treatment was performed for 224 patients with SHIH in ultra-early stage and 160 patients with SHIH in non-ultra-early stage.The surgical effect on ac-tivities of daily living ( ADL) after 6 months was estimated for each patient and compared between groups .Results Ultra-early stage patients,201 in 224 cases survived after surgery (effective rate,89.73%);ADL evaluation:Ⅰlevel 21 cases,Ⅱlevel 46 cases,Ⅲlevel 83 cases,Ⅳlevel 36 cases,Ⅴlevel 15 cases;With 150 casesⅠ-Ⅲlevel,good accounted for 74.63%,the efficient and prognosis was signif-icantly higher than the control group .Conclusion For SHIH patients multiple targets at ultra-early stage,minimally invasive drilling cranium drainage treatment can significantly reduce the disabling and fatality rate ,and improve the quality of life of patients .