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目的对比观察不同治疗方案治疗高血压性基底核区脑出血的疗效。方法选取2009年3月—2012年4月入院进行治疗的高血压性基底核区脑出血患者125例,将其随机分为三针组和二针组,三针组采用三针微创手术治疗,两针组采用二针微创手术治疗,对两组患者采取同样的术后护理和治疗,对比手术并发症、血肿清除量及治疗效果。结果两组患者并发症主要以呼吸道感染、再出血、电解质紊乱、消化道出血、颅内感染为主,差异有统计学意义(P<0.05)。三针组较二针组血肿清除量较多、效果较好、术后半年神经功能改善情况明显、意识恢复时间较短,差异有统计学意义(P<0.05)。结论对比两针组,三针组清除血肿量多,效果好,神经功能改善明显,意识恢复早,疗效显著。
Objective To compare the curative effects of different treatment regimens in the treatment of hypertensive basal ganglia hemorrhage. Methods 125 patients with hypertensive nucleus of cerebral hemorrhage admitted from March 2009 to April 2012 were randomly divided into three-needle group and two-needle group, three-needle minimally invasive surgery Two-needle microneurosurgery was used in the two-needle group. The same postoperative care and treatment were performed on the two groups. The complications, hematoma clearance and therapeutic effect were compared. Results The complications of the two groups were mainly respiratory tract infection, rebleeding, electrolyte imbalance, gastrointestinal bleeding and intracranial infection. The difference was statistically significant (P <0.05). The volume of hematoma in the three-needle group was higher than that of the second-needle group, and the effect was better. The improvement of neurological function in six months after operation was obvious, and the recovery time was shorter. The difference was statistically significant (P <0.05). Conclusion Compared with the two-needle group, the three-needle group can remove the hematoma and has good effect, obvious improvement of nerve function, early recovery of consciousness and significant curative effect.