微创颅内血肿清除术对高血压脑出血患者功能恢复影响.docVIP

微创颅内血肿清除术对高血压脑出血患者功能恢复影响 　　[摘要] 目的 探讨微创颅内血肿清除术治疗高血压脑出血的疗效。方法 将我院2008年4月～2010年8月收治的76例高血压脑出血患者依据手术治疗方法不同随机分为观察组（颅内血肿微创清除术组）40例，对照组（内科保守治疗）36例，观察两组患者的手术时间、血肿清除率以及有效率、日常生活能力（ADL）。结果 观察组痊愈12例，显效21例，有效5例，无效2例，与对照组比较，差异有统计学意义（P＜0.05）;观察组总有效率为82.50%，与对照组比较，差异有统计学意义（P＜0.05）。观察组治疗2周后 Fugl-Meyer值和Bartel指数与对照组比较，差异有统计学意义（P＜0.05）。观察组ADL 分级与对照组比较，差异有统计学意义（P＜0.05）。结论 颅内血肿微创清除术安全简便，手术费用低，方便易行，有效率高，正确处理高血压脑出血的手术适应证，可降低疾病的死亡率，提高患者手术治疗的成功率。 　　[关键词]颅内血肿；微创清除术；高血压脑出血 　　[中图分类号] R743.34 [文献标识码] A [文章编号]1673-9701（2011）23-04-03 　　 　　The Clinical Curative Effect of Curing Hypertensive Cerebral Hemorrhagc by Minimally invasive surgery 　　FU Bin 　　Department of Neurosurgery，the People’s Hospital of Jinhua City in Zhejiang Province，Jinhua 321000, China 　　 　　[Abstract] Objective To approach the clinical curative effect of curing hypertensive cerebral hemorrhage by intranial hematoma clear skill. Methods From April 2008～August 2010 our hospital admitted 76 patients with hypertensive cerebral hemorrhage, according to surgical treatment were divided into treatment group （group minimally invasive surgery for intracranial hematoma）40 cases, the control group（conservative treatment group）36 cases ,observed in operation time, hematoma rate and efficiency of daily living（ADL） of the comparison. Results Observed 12 patients were cured, 21 cases were markedly effective， 5 cases were effective, 2 cases were invalid，compared with the control group, the difference is highly statistically significant（P＜0.05）; observed total effective rate was 82.50%, compared with the control group, the difference statistically significant（P＜0.05）. After 2 weeks of observation group in the Fugl-Meyer value and the Bartel Index, and compared with the control group, the difference was statistically significant（P＜0.05）. ADL classification on the observation group, compared with the control group, the difference was statistically significant （P＜0.05）. Conclusion The clinical curative effect of low cost, convenient and e