重庆医学Issue(29)：3505-3507,3.DOI:10.3969/j.issn.1671-8348.2013.29.016
微创治疗与药物治疗高血压脑出血的临床分析
Clinical analysis of minimally invasive surgery and drug treatment for hypertensive cerebral hemorrhage
余永程 1杨华荣 1郑江环 1宁丽洁 1伍国锋2
作者信息
- 1. 贵阳医学院第二附属医院神经内科，贵州凯里556000
- 2. 贵阳医学院附属医院神经内科，贵阳550004
- 折叠
摘要
Abstract
Objective To compare the clinical efficacy of minimally invasive removal of intracranial hematomas and medical con-servative treatment for hypertensive cerebral hemorrhage .Methods A total of 75 patients with hypertensive cerebral hemorrhage were collected and randomly divided into two groups according to the treatments :38 patients treated with conservative medicine and 37 patients treated with minimally invasive removal of intracranial hematomas based on standard drug therapy .Neurological impair-ment and recovery of self-care ability of patients in both groups before and after three weeks and six weeks of treatment were scored by National Institute of Health Stroke Scale (NIHSS) .Changes of diffusion tensor imaging before treatment and after two weeks of treatment were evaluated by fractional anisotropy value (FA) .Results There was no significant difference between neurological im-pairments of the patients in two groups before treatment .But the recovery degree of functional impairment and muscle nerve in min-imally traumatic treatment group was more significant than those in the conservative medical treatment group after treatments . There was significant difference between two groups (P< 0 .05) .Conclusion Minimally traumatic of hematomas is an effective method of treating hypertensive intracerebral hemorrhage .关键词
高血压/脑出血/微创血肿清除术/治疗结果Key words
hypertention/cerebral hemorrhage/minimally traumatic of hematomas/treatment outcome引用本文复制引用
余永程,杨华荣,郑江环,宁丽洁,伍国锋..微创治疗与药物治疗高血压脑出血的临床分析[J].重庆医学,2013,(29):3505-3507,3.
