CAJ | 학술논문

目的：观察微创穿刺清除术联合中医理疗治疗基底节区脑出血疗效，为中西医治疗该病提供参考。方法选择我院2010-01-2013-03收治的98例高血压基底节区脑出血患者，采用隐匿数字随机法分为2组，对照组49例采用微创穿刺清除术治疗，联合组49例在此基础上联合中医理疗治疗，对近期疗效和远期疗效进行评价。结果联合组术后优良率为48.98％，对照组优良率为36.73％，2组比较差异具有统计学意义（ P＜0.05）。随访6个月，联合组日常生活自理率58.70％，对照组日常生活自理率40.0％，2组比较差异具有统计学意义（ P＜0.05）。结论微创穿刺清除术联合中医理疗可显著提高基底节区脑出血患者的近期和远期疗效，降低病残等级，提高生活质量。
목적：관찰미창천자청제술연합중의리료치료기저절구뇌출혈료효，위중서의치료해병제공삼고。방법선택아원2010-01-2013-03수치적98례고혈압기저절구뇌출혈환자，채용은닉수자수궤법분위2조，대조조49례채용미창천자청제술치료，연합조49례재차기출상연합중의리료치료，대근기료효화원기료효진행평개。결과연합조술후우량솔위48.98％，대조조우량솔위36.73％，2조비교차이구유통계학의의（ P＜0.05）。수방6개월，연합조일상생활자리솔58.70％，대조조일상생활자리솔40.0％，2조비교차이구유통계학의의（ P＜0.05）。결론미창천자청제술연합중의리료가현저제고기저절구뇌출혈환자적근기화원기료효，강저병잔등급，제고생활질량。
Objective To investigate clinical effect of minimally invasive surgery combined with Chinese medicine therapy on cerebral hemorrhage in basal ganglia ,and provide a reference for Chinese and Western medicine treatment of the disease.Methods 98 cases of hypertensive cerebral hemorrhage in basal ganglia in our hospital from January 2010 to March 2013 were divided into the control group ,treated with minimally invasive surgery and the combination group ,treated with Chinese medi-cine therapy on the basis of control group by means of hidden numbers stochastic approach.The recent and long-term efficacies of the two groups were analyzed. Results The excellent rate of combined group (48.98% ) was significant higher than that of control group (36.73% , P< 0.05 ). Followed up for 6 months , self-care rate of daily living of the combination group (58.70% ) was significant higher than that of control group (40.0% ,P<0.05). Conclusion Minimally invasive surgery com-bined with Chinese medicine therapy can significantly improve short-term and long-term efficacy of the patients with the basal ganglia hemorrhage ,reduce disability levels and improve quality of life.