微创介入技术治疗高血压脑出血临床研究.docVIP

微创介入技术治疗高血压脑出血临床研究 　　【摘要】 目的 总结软通道微创介入技术治疗高血压脑出血的临床疗效。 　　方法 将96例高血压脑出血患者根据家属的意愿分为治疗组与对照组，各48例。治疗组采取软通道微创介入技术治疗，对照组采取常规保守治疗。比较两组患者治疗后1周的GCS评分情况，以及治疗后3个月的GOS评定情况。 　　结果 治疗前两组GCS评分比较差异无统计学意义（P0.05）， 对照组治疗前后比较差异无统计学意义（P0.05），治疗组治疗前后比较差异有统计学意义（P0.01），治疗后1周两组比较差异有统计学意义（P0.01），治疗组GCS评分改善程度优于对照组。治疗后3个月两组GOS评定比较差异有统计学意义（P0.01），治疗组的GOS评定显著优于对照组。 　　结论 应用软通道微创介入技术治疗高血压脑出血患者病情恢复快，且有效地降低病死率和致残率，是一种安全、简便、有效的治疗方法。 　　【关键词】 微创技术；高血压；脑出血 　　中图分类号：R651.1 文献标识码：A 　　【Abstract】 Objective To summarize effect of minimal invasive interventional technique in the treatment of patients with hypertensive intra cerebral hemorrhage. 　　Methods 96 cases of hypertensive intra cerebral hemorrhage were divided into treatment group and control group according to the wishes of their family members，with 48 cases in each group.The treatment group were treated with minimal invasive interventional technique，while the control group were given conventional conservative treatment.Then，GCS one week later after treatment as well as GOS three months after treatment between groups were compared. 　　Results Difference of GCS of both groups before treatment was not statistically significant（P0.05），and that of the control group before and after treatment was also not statistically significant（P0.05）.Difference of GCS of the treatment group before and after treatment was statistically significant（P0.01）.One week after treatment，the GCS score of the treatment group was significantly higher than that of the control group，so the difference was statistically significant（P0.01）.Three months after treatment，difference of GOS in the two groups was statistically significant（P0.01），and that of the treatment group was significantly better than that of the control group. 　　Conclusion Soft channel minimal invasive interventional technique can help patients recover quickly in the treatment of hypertensive intra cerebral hemorrhage，and it can effectively reduce case fatality rate and disability rate.It is a safe，simple，and e