超早期微创治疗高血压脑出血临床对照研究

【作者】 刘进； 叶碎林； 王伟明； 张学磊；

【机构】 浙江省丽水市人民医院神经外科；

【摘要】 目的总结超早期和早期微侵袭手术治疗92例高血压脑出血病人的救治经验。方法回顾性总结92例经微侵袭手术治疗的高血压脑出血病人的治疗经验。结果对存活的全部92例患者于出院3个月时按日常生活能力(ADL)分级法评价:Ⅰ级:超早期组10例(26.32%),早期组6例(11.11%);Ⅱ级:超早期组15例(39.47%),早期组18例(33.33%);Ⅲ级:超早期组9例(23.68%),早期组19例(35.19%);Ⅳ级:超早期组3例(7.89%),早期组8例(14.81%);Ⅴ级:超早期组1例(2.63%),早期组3例(5.56%)。在疗效较好的Ⅰ～Ⅱ级病例中,超早期组多于早期组,两者对比有显著性差异(P<0.05)。结论超早期微侵袭手术治疗高血压脑出血病人可显著改善预后。更多还原

【Abstract】 Objective To summarize the experience of the minimally invasive operation in treatment of the hypertensive intracerebral hemorrhage in the superearly and early periods. Methods 92 cases of hypertensive intracerebral hemorrhage patients who had undergone minimally invasive operation were summarized retrospectively. Results When the patients were evaluated with the Activities of Daily Living(ADL) Test 3 months after discharge,the number of cases belonging to each Class was as follows:ClassⅠ:superearly group 10cases(26.32 %).early group 6 cases(11.11%);ClassⅡ:superearly group 15 cases(39.47%).early group 18 cases(33.33%) ;ClassⅢ:superearly group 9 cases(23.68%),early group 19 cases(35.19%);ClassⅣ:superearly group 3 cases(7.89%).early group 8 cases(14.81%);ClassⅤ:superearly group 1 cases(2.63%).early group 3 cases (5.56%).In ClassesⅠtoⅡthat had better therapeutic efficacy.there were more cases of the superearly group than the early group.There was significant difference between the two groups(P<0.05). Conclusion The superearly minimally invasive operation can significantly improve the prognosis of hypertensive intracerebral hemorrhage.更多还原