高血压脑出血患者的微创治疗

高血压脑出血患者的微创治疗

李敬权

【期刊名称】《医学信息》 【年(卷),期】2013(000)019

【摘要】目的探讨颅内血肿微创清除术治疗高血压脑出血患者的疗效。方法对72例50岁以上的、基底节区脑出血、血肿量大于40ml的患者，采用脑CT片进行穿刺点定位，YL-1型颅内血肿粉碎穿刺针对血肿进行穿刺、液化、引流，在治疗前及治疗30d后采用改良爱丁堡+斯堪的那维亚脑卒中评分量表（MESSS）和日常生活能力Barthel指数（BI）对所有患者进行评分。结果两组治疗后的那维亚脑卒中评分量表（MESSS）和日常生活能力Barthel指数（BI）评分均较治疗前明显改善（P〈0.01），但治疗组较对照组改善更明显（P〈0.01）。治疗组的显效率和总有效率均明显高于对照组（P〈0.01和P〈0.05）。结论微创术治疗高血压脑出血患者效果较好，值得推广。%ObjectiveTo investigate the therapeutic ef ect of minimal y invasive surgery on massive intracerebralhemorrhage in patients. Methods 72 patients with massive intracerebral hemorrhage (hemorrhage>40ml) were treated with YL-1 type dril apparatus under CT groupcontrol,and the scores of modified Edinburgh-Scandinavia storkescale (MESSS) and Barthel index (BI) were evaluated before and after treatment. Results The scores of MESSS and BI in two groups improved obviously after treatment of 30days (P<0.01), but they were improved more significantly in treatment group than those of the