微创穿刺引流术治疗高血压脑出血的临床研究

目的探讨微创穿刺引流术治疗高血压脑出血的临床效果。方法80例高血压脑出血患者随机分为观察组及对照组各40例，比较两种治疗方法的病死率以及总有效率。结果观察组总有效率72．5％，高于对照组的42．5％（P〈0．05），且观察组病死率明显低于对照组（P〈0．05）；观察组术后无1例感染，发生再出血2例。结论颅内血肿微创穿刺治疗高血压脑出血有较高的临床实用价值，疗效明显优于内科保守治疗，值得基层医院推广应用。

Clinical research of applying mini-invasive puncture and drainage in the treatment of hypertensive cerebral hemorrhage

Objective To explore the clinical efficiency of mini-invasive puncture and drainage in the treatment of hypertensive cerebral hemorrhage. Methods 80 cases of hypertensive cerebral hemorrhage were randomly divided into the mini-invasive group and 40 cases of the control group to compare the death rate and the total effective rate between the two methods. Results The effective rate in the therapy group （72.5 % ）was significantly higher than that of the control group （42.5 %, χ^2 = 8.12, P 〈 0.05 ） and the morality in the treatment was significantly lower than that of the control group. There was not any case of infection, but there were 2 cases of rehaemorrhagia. Conclusion Mini-invasive treatment of in- tracranial hematoma puncture of hypertensive intracerebral hemorrhage has a higher value in the clinical application, whose efficacy is superior to conservative medical treatment, and it is worth promoting in the grass-roots hospital.