CAJ | 학술논문

[目的]了解常德市微创血肿引流术治疗高血压性脑出血开展现状并对其疗效进行评价。[方法]提取常德市多中心脑卒中登记数据库5338例患者中行微创血肿引流术的高血压性脑出血患者398例（观察组），抽取同期行内科保守治疗高血压性脑出血患者253例（对照组）；回顾性分析两组高血压性脑出血患者的病死率、神经功能康复等情况。[结果]观察组患者病死率及并发症发生率显著低于对照组（P ＜0．05），而血肿增大致死比例显著高于对照组（P ＜0．05）。观察组治疗后14 d、28 d 的 NHISS 评分明显低于对照组（P＜0．05）。[结论]微创血肿引流术能有效的减少高血压性脑出血患者的病死率，有助于其神经功能的后期康复。
[목적]료해상덕시미창혈종인류술치료고혈압성뇌출혈개전현상병대기료효진행평개。[방법]제취상덕시다중심뇌졸중등기수거고5338례환자중행미창혈종인류술적고혈압성뇌출혈환자398례（관찰조），추취동기행내과보수치료고혈압성뇌출혈환자253례（대조조）；회고성분석량조고혈압성뇌출혈환자적병사솔、신경공능강복등정황。[결과]관찰조환자병사솔급병발증발생솔현저저우대조조（P ＜0．05），이혈종증대치사비례현저고우대조조（P ＜0．05）。관찰조치료후14 d、28 d 적 NHISS 평분명현저우대조조（P＜0．05）。[결론]미창혈종인류술능유효적감소고혈압성뇌출혈환자적병사솔，유조우기신경공능적후기강복。
[Objective]To understand the current situation of minimal-invasive hematoma drainage for the treatment of hypertensive cerebral hemorrhage in Changde city and to evaluate its efficacy.[Methods]Totally 398 patients with hypertensive cerebral hemorrhage undergoing minimal-invasive hematoma drainage among 5338 patients in multicenter stroke registration database of Changde city were chosen as the observation group. Other 253 patients with hypertensive cerebral hemorrhage receiving internal medical conservation treatment at the same time were chosen as the control group.The mortality and nerve function recovery of patients with hy-pertensive cerebral hemorrhage in two groups were analyzed retrospectively.[Results]There were significant differences in the mortality,complications and fatality rate of hematoma enlargement between two groups(P<0.05).NHISS score at 14d and 28d after treatment in the observation group was obviously lower than that in the control group(P <0.05).[Conclusion]Minimal-invasive hematoma drainage can effectively reduce the mortality of patients with hypertensive cerebral hemorrhage,and is helpful for nerve function rehabilitation in later period.