CAJ | 학술논문

目的：观察微创穿刺治疗基底节区脑出血与内科保守治疗的疗效。方法：采用回顾性方法分析基底节脑出血(治疗组)110例，采取微创治疗及内科综合治疗，并与同期基底节脑出血(对照组)89例，单纯采取内科保守治疗的疗效进行对比，治疗前后按照脑卒中患者临床神经功能缺损评分标准进行评分。结果：治疗组治愈率、总有效率均高于对照组(P＜0.01)，治疗组治疗前后神经功能缺损程度比较评分有显著性差异(P＜0.01)，两组治疗后神经功能缺损程度评分比较差异有统计学意义(P＜0.01)。结论：对于基底节区脑出血患者积极采取微创治疗可明显改善预后。
목적：관찰미창천자치료기저절구뇌출혈여내과보수치료적료효。방법：채용회고성방법분석기저절뇌출혈(치료조)110례，채취미창치료급내과종합치료，병여동기기저절뇌출혈(대조조)89례，단순채취내과보수치료적료효진행대비，치료전후안조뇌졸중환자림상신경공능결손평분표준진행평분。결과：치료조치유솔、총유효솔균고우대조조(P＜0.01)，치료조치료전후신경공능결손정도비교평분유현저성차이(P＜0.01)，량조치료후신경공능결손정도평분비교차이유통계학의의(P＜0.01)。결론：대우기저절구뇌출혈환자적겁채취미창치료가명현개선예후。
Objective:To observe the difference between minimally invasive treatment and conservative treatment clinical effects in basal ganglia hemorrhage.Methods:Using a retrospective analysis method in 110 patients with basal ganglia hemorrhage(treatment group),who adopt a minimally invasive treatment and comprehensive medical treatment,and compared treatment efficacy with 89 cases of basal ganglia hemorrhage(control group)who take the conservative treatment simply at the same period.Scored in stroke patients according to clinical neurological deficit scores standard before and after treatment.Results:The cure rate and total efficiency in the treatment group were higher than in control group(P<0.01).Neurological deficit scores were relatively significant difference before and after treatment in the treatment group(P<0.01).Functional neurological deficit after treatment was a significant difference between two groups(P<0.01).Conclusion:Minimally invasive treatment for actively taking basal ganglia in patients with cerebral hemorrhage can significantly improve the prognosis.