目的:比较内科保守治疗与外科钻孔引流对少量(20-30ml)高血压性丘脑出血患者认知功能的影响。方法:选择较少量高血压性丘脑出血病例60例,随机分为内科保守治疗和外科钻孔引流治疗各30例。运用简易精神状态量表(mini mental state examination,MMSE)评价治疗前和治疗后1个月及3个月病人的认知状态。结果:外科钻孔引流治疗组MMSE分值增加明显高于内科治疗组,具有统计学意义。结论:外科钻孔引流治疗对较少量高血压性丘脑出血患者认知功能的恢复更有意义。
【英文摘要】
Objective:To compare the effect of medical treatments and the minimally invasive trepanation and drainage on cognition function of patients with thalam encephalon Hemorrhage.Methods:60 patients with thalamencephalon Hemorrhage were divided into two groups.One Group(30)accepted the minimally invasive trepanation and drainage,the other(30)accepted the Medical treatment.The MMSE score was assessed after 1 and 3 months in both groups(P<0.05)Results:The MMSE scores Of patients with the minimally invasive trepana...