颅内血肿微创清除术对重度脑出血的早期预后影响

目的探讨颅内血肿微创清除术治疗对重度脑出血早期预后的影响.方法选择大脑半球基底节区,出血量在50～80ml的重度脑出血患者为研究对象,分为微创手术组和药物治疗组.观察比较两组患者2周内病死率和存活患者意识障碍、运动功能和生活自理能力的恢复程度.结果微创手术组病死率和存活患者昏迷程度明显降低(P<0.05,P<0.01),运动功能和生活自理能力明显提高(P<0.01).结论颅内血肿微创清除术能显著改善重度脑出血的早期预后,降低病死率和减轻意识障碍程度,提高肢体运动功能和生活自理能力.

Effect of micro-invasive surgical evacuation on early prognosis of intracranial hematoma

Objective To explore the effect of micro-invasive surgical evacuation on early prognosis of patients with severe cerebral hemorrhage.Methods Cases of severe cerebral hemorrhage with the volume of 50 to 80 ml in cerebral basal nuclei were randomly divided into micro-invasive surgical group and medical treated group.The early mortality rate (within 2 weeks),conscious disturbance,motor function and self-care ability of survivors were compared.Results The mortality rate and disturbance conscious were obviously reduced (P<0.05,P<0.01) while the motor function and self-care ability were significantly increased (P<0.01) in the micro-invasive surgical group.Conclusion Micro-invasive surgical evacuation of intracranial hematoma can significantly improve the early prognosis of cases of severe cerebral hemorrhage,while reduce mortality rate,decrease the level of conscious disturbance,yet increase motor function of limb and the self-care ability.