CAJ | 학술논문

目的：比较锥颅穿刺术与开颅手术治疗脑出血的临床疗效。方法选取脑出血患者100例，随机均分为治疗组与对照组（n=50）。治疗组患者采用锥颅穿刺术，对照组患者采用传统的开颅手术。比较2组患者的神经功能缺损评分、临床疗效。结果2组患者术后神经功能缺损评分均低于术前，差异有统计学意义（P<0.05），尤以治疗组神经功能缺损评分降低更为显著（P<0.05）。与对照组患者总有效率比较，治疗组患者总有效率显著增高，2组比较差异有统计学意义（P<0.05）。结论对于脑出血患者采用锥颅穿刺术治疗，可有效清除颅内血肿，损伤小，手术时间短，术后神经功能恢复好，并发症发生率低，有效改善患者的生活质量，显著提高治疗效果。
목적：비교추로천자술여개로수술치료뇌출혈적림상료효。방법선취뇌출혈환자100례，수궤균분위치료조여대조조（n=50）。치료조환자채용추로천자술，대조조환자채용전통적개로수술。비교2조환자적신경공능결손평분、림상료효。결과2조환자술후신경공능결손평분균저우술전，차이유통계학의의（P<0.05），우이치료조신경공능결손평분강저경위현저（P<0.05）。여대조조환자총유효솔비교，치료조환자총유효솔현저증고，2조비교차이유통계학의의（P<0.05）。결론대우뇌출혈환자채용추로천자술치료，가유효청제로내혈종，손상소，수술시간단，술후신경공능회복호，병발증발생솔저，유효개선환자적생활질량，현저제고치료효과。
Objective To compare the clinical effect of skull puncture and craniotomy in the treatment of cerebral hemorrhage.Methods 100 patients with cerebral hemorrhage were selected, and randomly equally divided into the control group and the treatment group, 50 cases in each group. The treatment group used skull puncture, while the control group used traditional craniotomy. The neurologic impairment score and clinical effect of patients in the two groups were compared.Results The neurologic impairment score after surgery in the two groups were lower than that before surgery, the difference was signifi cant(P<0.05), and the neurologic impairment score after surgery in the treatment group decreased more signifi cantly (P<0.05). The total effective rate of patients in the treatment group was signifi cantly higher than that in the control group, the difference was signifi cant (P<0.05).Conclusion Using skull puncture in the treatment of patients with cerebral hemorrhage can effectively clear intracranial hematoma, has slight damage, short surgery time, good nerve function recovery, low complications incidence, and can effectively improve the quality of life of patients, effectively improve the clinical treatment effect.