CAJ | 학술논문

目的：研究微创颅内血肿粉碎清除术治疗高血压性脑出血患者临床疗效和安全性。方法：选择高血压脑出血患者作为本研究的研究对象，随机分为给予颅内血肿微创清除术的观察组和碎吸穿刺清除术的对照组，观察治疗效果和安全性相关指标。结果：观察组患者剧烈头痛、频繁呕吐、意识障碍、癫痫发作、生命体征剧烈波动、病理征阳性缓解例数均明显多于对照组，发生再出血、颅内感染的例数以及NIHSS评分、CSS评分均明显低于对照组。结论：颅内血肿微创清除术能改善治疗效果、减小神经功能损害和并发症，具有积极的临床价值。
목적：연구미창로내혈종분쇄청제술치료고혈압성뇌출혈환자림상료효화안전성。방법：선택고혈압뇌출혈환자작위본연구적연구대상，수궤분위급여로내혈종미창청제술적관찰조화쇄흡천자청제술적대조조，관찰치료효과화안전성상관지표。결과：관찰조환자극렬두통、빈번구토、의식장애、전간발작、생명체정극렬파동、병리정양성완해례수균명현다우대조조，발생재출혈、로내감염적례수이급NIHSS평분、CSS평분균명현저우대조조。결론：로내혈종미창청제술능개선치료효과、감소신경공능손해화병발증，구유적겁적림상개치。
Objective:To study the clinical efficacy and safety of minimally invasive intracranial evacuation of hematomas in treating hypertensive cerebral hemorrhage. Method:Patients with hypertensive intracerebral hemorrhage were collected and randomly divided into observation group and control group,the observation group were treated with minimally invasive intracranial evacuation of hematomas,and the control group were treated with puncture dissection. Then treatment effect and safety index were observed. Result:The remittent cases of severe headache,frequent vomiting,conscious disturbance,seizures,violent fluctuation of vital signs,positive pathologic reflex in the observation group were significantly more than those in the control group.Bleeding,intracranial infection cases and NIHSS score,CSS score of the observation group were significantly lower than those in the control group. Conclusion:Minimally invasive surgery of intracranial hematoma has the clinical value of positive,it can improve the therapeutic effect and reduce the neurological impairment and complications.