CAJ | 학술논문

目的分析微创穿刺术治疗脑出血颅内血肿的临床疗效。方法脑出血患者128例随机分为对照组和观察组各64例，对照组实施内科保守治疗，观察组采用颅内血肿微创穿刺清除术。观察比较2组疗效、并发症发生率。结果术后2周观察组总有效率81.3％，大于对照组的46.9％，差异有统计学意义（ P＜0.05）；2组消化道出血、肺部感染、尿路感染、脑疝形成并发症发生率差异无统计学意义（P＞0.05），观察组再出血、肾衰竭、电解质紊乱发生率低于对照组，差异有统计学意义（ P＜0.05）。结论微创穿刺术对比传统内科保守治疗疗效较好，可有效降低患者病死率、减少并发症的发生，且操作简单<br>　　值得推广。
목적분석미창천자술치료뇌출혈로내혈종적림상료효。방법뇌출혈환자128례수궤분위대조조화관찰조각64례，대조조실시내과보수치료，관찰조채용로내혈종미창천자청제술。관찰비교2조료효、병발증발생솔。결과술후2주관찰조총유효솔81.3％，대우대조조적46.9％，차이유통계학의의（ P＜0.05）；2조소화도출혈、폐부감염、뇨로감염、뇌산형성병발증발생솔차이무통계학의의（P＞0.05），관찰조재출혈、신쇠갈、전해질문란발생솔저우대조조，차이유통계학의의（ P＜0.05）。결론미창천자술대비전통내과보수치료료효교호，가유효강저환자병사솔、감소병발증적발생，차조작간단<br>　　치득추엄。
Objective To analyze and evaluate the value of minimally invasive surgery for intracranial hematoma.Methods Totally 128 cases of patients with cerebral hemorrhage admitted in our hospital were selected as the research object ,and 64 cases in each group.The patients in the control group were given internal medicine conservative treatment ,and the observation group was treated by minimally invasive removal of intracranial hematoma.The incidences of complications and the curative effect were compared between the two groups.Results After 2 weeks of treatment group ,the total effective rate of observation group was 81.3% ,which was more than that of control group (46.9% ) ,with a significant difference (P<0.05).But there were no statistically significant differences between the two groups of patients in digestive tract hemorrhage ,pulmonary infec‐tion ,urinary tract infection ,and hernia formation complication rate (P>0.05).The occurrence rate of hemorrhage ,renal fail‐ure ,and electrolyte disturbance of the observation group were smaller than those of the control group ,the difference was statis‐tically significant (P<0.05).Conclusion The minimally invasive surgery has a better curative effect compared with conven‐tional internal medicine.It can effectively reduce the incidence of mortality , complications , and the operation is simple.Therefore ,it is worthy of promotion.