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目的 探讨重型高血压脑出血的有效治疗方法。方法 采用微创多靶点引流血肿清除术治疗了 5 6例患者 ,同时选择与之相匹配的、同期住院的、只行内科治疗的重型高血压脑出血患者 6 0例作对照。结果 治疗组的总有效率 (78.5 7% )及BarthelIndexes (BI) (83.94± 16 .2 7分 )均明显高于对照组 (P <0 .0 1) ,并且其病死率 (16 .0 7% )明显低于对照组 (P <0 .0 5 )。结论 微创多靶点引流清除血肿术是一种抢救重型高血压脑出血的有效治疗方法。
Objective To investigate the effective treatment of hypertensive intracerebral hemorrhage. Methods Fifty-six patients underwent minimally invasive multi-target drainage hematoma resection. Sixty matched patients with severe hypertensive intracerebral hemorrhage undergoing medical treatment at the same period were selected as controls. Results The total effective rate (78.5 7%) and Barthel Indexes (BI) (83.94 ± 16.27 points) in the treatment group were significantly higher than those in the control group (P0.01), and the mortality rate (16.07 %) Was significantly lower than that of the control group (P <0.05). Conclusion Minimally invasive multi-target drainage and hematoma removal is an effective treatment for severe hypertensive intracerebral hemorrhage.