微创手术和完全保守治疗高血压脑出血的临床效果比较

目的 评价微创手术和完全保守治疗脑出血的临床效果.方法 选取秦皇岛经济技术开发区医院神经内科2002～2011年收治的脑出血患者346例,分为对照组和实验组.对照组175例,采用完全保守治疗;实验组171例,采用微创手术进行治疗.采用神经功能缺损程度评分标准（CSS）评价两组神经功能缺损情况;观察两组患者临床疗效.结果 实验组治疗1个月后CSS评分（14.69±3.61）分]显著优于治疗前（33.78±2.70）分],差异有统计学意义（P＜0.05）;对照组患者治疗前后差异无统计学意义（P＞0.05）.对照组和实验组的总有效率分别为72.6％（127/175）和92.4％（158/171）,差异有高度统计学意义（P＜0.01）.结论 相对于完全保守治疗,微创手术治疗脑出血的临床疗效显著,且安全可靠,值得推广.

Clinical curative effect comparison of minimally invasive surgery and conservative treatment for hypertensive cerebral hemorrhage

Objective To evaluate the clinical curative effect comparison of minimally invasive surgery and conservative treatment for hypertensive cerebral hemorrhage.Methods 346 patients with cerebral hemorrhage from 2002 to 2011 in Department of Neurology,Qinhuangdao Economic ＆ Technological Development Zone Hospital were selected and divided into control group and experiment group.175 patients in control group were treated with completely conservative treatment,171 patients in experiment group were treated with minimally invasive surgery.CSS scale was used to evaluate the neurologic deficits of the two groups; clinical efficacy of the two groups was observed.Results The CSS scores in experiment group 1 month after treatment （14.69±3.61） points] were better than before the treatment （33.78±2.70） points],the difference was statistically significant （P ＜ 0.05）.The difference of CSS scores in control group before and 1 month after treatment was not statistically significant （P ＞ 0.05）.The clinical effective rate of the experiment group was 92.4％ （158/171）,it was better than that of the control group 72.6％ （127/175）],the difference was statistically significant （P ＜ 0.01）.Conclusion Compared with the completely conservative experiment,the minimally invasive surgery for treating cerebral hemorrhage is safe,reliable,and can provide certain theoretical reference for the clinical experiment of the disease.