【摘要】 目的 探讨颅内血肿微创清除术(简称微创术)并祛瘀开窍法治疗高血压大脑基底节区中小量脑出血的疗效。方法 选择高血压基底节区脑出血20～30ml的病例,随机分为两组。治疗组采用微创术并祛瘀开窍法治疗,与同期单纯西医非手术治疗者(对照组)进行比较,观察第4日和第7日血肿消失率、第10日意识转清醒率、第14日高度脑水肿率、第4周肌力恢复良好率及3个月后期良好率。结果 治疗组第4日、7日血肿消失率及第10日意识转清醒率、第4周肌力恢复良好率、3个月后期良好率均高于对照组,第14日高度脑水肿率低于对照组。结论 高血压大脑基底节区中小量脑出血采用微创术并祛瘀开窍法治疗效果优于单纯西医非手术治疗。更多还原

【Abstract】 Objective: To observe the therapeutic effect of the microtraumatic evacuation of intracerebral hematomas surgery combined with drugs for Removing Blood Stasis and Inducing Resuscitation in treating a middle-little deal of hypertensive cerebral hemorrhage in basal ganglia. Methods: Patients with hypertensive basal ganglia cerebaral hemorrhage(20～30ml) were divided randomly into two groups. Patients in the treatment group were treated with the microtraumatic surgery combined with drugs for Removing Blood Stasis and Inducing Resuscitation, while those in the comparison group were treated with the merely WM treatment only. The effects of two groups were compared by observing the hematomas dissolving rate on the 4th and the 7th day, the consciousness being awakened rate on the 10th day, the severe hydrocephalus rate on the 14th day, the excellent muscle power resuming rate on the 4th week, the later period excellent rate on the 3th month. Results: The hematomas dissolving rates on the 4th and the 7th day of the treatment group were higher than those of the comparison group; the consciousness being awakened rate on the 10th day was higher than that of the comparison group; the severe hydrocephalus rate on the 14th day was lower than that of the comparison group; the excellent muscle power resuming rate on the 4th week was higher than that of the comparison group; the later period excellent rate on the 3th month was higher than that of the comparison group. Conclusion: The therapeutic effect of the microtraumatic evacuation of intracerebral hematomas surgery combined with drugs for Removing Blood Stasis and Inducing Resuscitation for hypertensive cerebral hemorrhage in basal ganglia is more effec tive than the merely WM treatment not including the operation.更多还原