【摘要】 目的分析高血压脑出血患者立体定向手术与内科保守治疗预后。方法回顾分析100例高血压脑出血患者立体定向手术资料,筛选出80例同期内科治疗病例(出血部位、出血量、入院时意识状况相匹配),对2组病例治疗结果进行对比分析。结果(1)病死率:立体定向手术组21.0%,内科治疗组为30.0%。(2)血肿消除时间:立体定向手术组血肿消除时间平均4.8d;内科治疗组为15.1d。(3)6个月随访结果:2组恢复良好、有轻度神经功能障碍、能正常生活的病人,P<0.01;2组重度病残,生活不能自理的病人对比,P<0.01;立体定向手术组优于内科保守治疗组。2组中度病残、生活能够自理病人对比,P>0.05,2组间没有显著差异。结论立体定向手术治疗高血压脑出血在病死率以及提高患者生存质量方面优于内科保守治疗。更多还原

【Abstract】 Objective To analyze patients with hypertensive cerebral hemorrhage in stereotactic surgery and conservative treatment of medical prognosis.Methods The treatment outcomes of two groups of patients were analyzed after retrospective analysis of stereotactic surgery information about 100 cases of patients with hypertensive intracerebral hemorrhage,in order to select 80 cases of medical treatment cases in the same period(bleeding site,bleeding volume,state of consciousness on admission).Results ①Mortality rate: stereotactic surgery group was 21.0%,medical treatment group was 30.0%.②Hematoma elimination time: the average time to eliminate hematoma for stereotactic surgery group was 4.8d;The average time for medical treatment group was 15.1d.③ Follow-up results after six months : for patients to normal life but with mild neurological dysfunction in the two good recovery groups,P<0.01;By comparison,the rate for those patients with severe disability,who could not take care of themselves in the two groups had statiostical significance,as a result stereotactic surgery group was superior to conservative medical treatment group.No significant difference was found between the two groups in patients who had moderate disability and could take care of themselves(P>0.05).Conclusion Stereotactic surgery for hypertensive intracerebral hemorrhage in patients is better than conservative medical treatment in reducing mortality rate and improving patients’ quality life.更多还原