CAJ | 학술논문

目的：探究高血压性脑出血合并双侧脑疝患者采用微创技术治疗的临床效果。方法选取我院高血压性脑出血合并脑疝患者88例，按照治疗方式的不同分为治疗组和对照组，每组44例。对照组患者采用保守的内科治疗，治疗组患者采用微创技术治疗；观察两组患者治疗后的临床效果。结果两组患者治疗后病情均有改善，但治疗组的总有效率72.7%显著优于对照组的47.7%，结果具有统计学差异（P<0.05）；两组患者治疗后，治疗组6、12个月的存活率显著高于对照组，结果具有统计学差异（P<0.05）。结论高血压性脑出血合并双侧脑疝患者采用微创技术治疗，有效的清除了患者的血肿，减少了手术的时间，解除了占位效应，临床创口小，损伤轻，预后良好，效果显著，值得推广。
목적：탐구고혈압성뇌출혈합병쌍측뇌산환자채용미창기술치료적림상효과。방법선취아원고혈압성뇌출혈합병뇌산환자88례，안조치료방식적불동분위치료조화대조조，매조44례。대조조환자채용보수적내과치료，치료조환자채용미창기술치료；관찰량조환자치료후적림상효과。결과량조환자치료후병정균유개선，단치료조적총유효솔72.7%현저우우대조조적47.7%，결과구유통계학차이（P<0.05）；량조환자치료후，치료조6、12개월적존활솔현저고우대조조，결과구유통계학차이（P<0.05）。결론고혈압성뇌출혈합병쌍측뇌산환자채용미창기술치료，유효적청제료환자적혈종，감소료수술적시간，해제료점위효응，림상창구소，손상경，예후량호，효과현저，치득추엄。
Objective To study the effect of minimally invasive technique in treating hypertensive cerebral hemorrhage bilateral cerebral hernia patients.Methods 88 patients with brain hernia hypertensive cerebral hemorrhage in our hospital were divided into treatment group and control group according to the treatment methods,each group of 44 cases.The control group were treated by conservative therapy, the treatment group were treated by minimally invasive treatment;clinical effect was observed after treatment in two groups.Results The efficiency rate of treatment group 72.7% was significantly better than the control group47.7%,P<0.05. Two groups of patients after treatment, the survival rate of the treatment group of 6 months, 12 months was higher than that of con-trol group,P<0.05.Conclusion Minimally invasive technique for the treatment of hypertensive cerebral hemorrhage with bilateral hernia could reduce the hematoma and the operation time,relieve the clinical occupying effect with small wound and slight injury, the prognosis is good,it is worthy of promotion.