CAJ | 학술논문

目的：探讨超早期微创穿刺引流手术对于基底节区脑出血患者的临床疗效。方法将100例基底节区脑出血患者按照抽签方法随机地均分为对照组与观察组，对照组行内科保守治疗，观察组给予超早期微创穿刺引流手术治疗。比较两组临床疗效及日常生活能力评分（ADL）、神经功能缺失评分（NIHSS评分）。结果对照组临床总有效率为70.00%，明显低于观察组（92.00%）（P＜0.05）；②观察组ADL及NIHSS评分分别为（97.39±11.00）分、（7.23±1.30）分，均优于对照组[分别为（81.13±8.76）分、（12.35±2.17）分]（P＜0.01）。结论超早期微创穿刺引流手术用于治疗基底节区脑出血中，效果显著，值得在临床上加以推广并应用。
목적：탐토초조기미창천자인류수술대우기저절구뇌출혈환자적림상료효。방법장100례기저절구뇌출혈환자안조추첨방법수궤지균분위대조조여관찰조，대조조행내과보수치료，관찰조급여초조기미창천자인류수술치료。비교량조림상료효급일상생활능력평분（ADL）、신경공능결실평분（NIHSS평분）。결과대조조림상총유효솔위70.00%，명현저우관찰조（92.00%）（P＜0.05）；②관찰조ADL급NIHSS평분분별위（97.39±11.00）분、（7.23±1.30）분，균우우대조조[분별위（81.13±8.76）분、（12.35±2.17）분]（P＜0.01）。결론초조기미창천자인류수술용우치료기저절구뇌출혈중，효과현저，치득재림상상가이추엄병응용。
Objective To investigate the ultra-early minimally invasive surgical drainage for basal ganglia hemorrhage clinical efficacy. Methods 100 cases of basal ganglia hemorrhage patients randomly divided into control group and observation group according to balloting method. The control group underwent conservative treatment, and the observation group were given ultra-early invasive puncture and drainage surgery. The clinical efficacy, ADL and NIHSS scores were compared. Results ①The total effective rate was 70.00%of the control group, which was lower than the observation group(92.00%)(P<0.05).②The scores of ADL and NIHSS were (97.39±11.00)and (7.23±1.30), which were superior to the control group [81.13±8.76 and 12.35±2.17](P<0.01). Conclusions The ultra-early minimally invasive surgical drainage for the treatment of cerebral hemorrhage in the basal ganglia, the effect is significant, it is worth to be promoted in clinical and applied.