微创血肿清除术治疗高血压脑出血疗效分析

目的比较微创血肿粉碎清除术与开颅血肿清除术的疗效。方法对两组高血压脑出血患者分别行微创血肿粉碎清除术和开颅血肿清除术，对两组疗效、死亡率进行卡方检验，并对两组疗效进行多元线性回归分析。结果微创组有效率66．67％（40／60），死亡率16．67％（10／60）；手术组有效率57．89％（33／57），死亡率29．82％（17／57），两组间有效率和死亡率均无显著差异（P〉0．05）。微创组疗效回归方程为y=0．732—0．418X1-0．119X2，X1为有无并发症，X2为人院状态；手术组疗效回归方程为Y=-0．665＋0．024X1-0．216X2＋0．016X3-0．291X4，X1为GCS评分、X2为有无并发症，X3为患者年龄，X4为有无脑疝。两组方程中Y均代表神经功能缺损评分减少百分数。结论微创血肿粉碎清除术是治疗高血压脑出血的有效方法。

Analysis of Curative Effect of Minimally Traumatic Evacuation of Hematomas on Hypertensive Intracerebral Hemorrhage

Objective To investigate the curative effect of minimally traumatic evacuation of hematomas on hypertensive intracerebral hemorrhage. Methods Of 117 patients with hypertensive intracerebral hemorrhage, 60 received minimally traumatic evacuation of hematomas (minimally traumatic group), and 57 received craniotomy to evacuate the hematomas (craniotomy group). The curative effect was statistically analyzed in both the groups. Results The effective rate (66.67%, 40/60) and death rate (16.67%, 10/60) in the minimally traumatic groups were insignificantly different from those (57.89%, 33/57; 29.82%, 17/57 respectively) in the craniotomy group (P>0.05). The regression equation of the minimally traumatic group is y=0.732-0.418X1-0.119X2, (X1, with or without complications and X2, the patient's state before treatment). The regression equation of the craniotomy group is y=-0.665 0.024X1-0.216X2 0.016X3-0.291X4, (X1, the patient's GCS; X2, with or without complications; X3, the patient's age, and X4, with or without herniation of brain). Y in both the equations represented percentage of decrease in the neurologic defect. Conclusion The minimally traumatic evacuation of hematomas is an effective method of treating patients with hypertensive intracerebral hemorrhage.