摘要：目的：观察微创颅内血肿引流术治疗脑出血的疗效。方法：46例脑出血患者随机分为两组，治疗组采用微创颅内血肿引流术，对照组采用传统内科保守治疗，观察1个月后临床疗效和6个月时日常生活能力(ADL)。结果：治疗组1个月时有效率和显效率达78.26%、52.17%，明显高于对照组的43.48%和21.74%(均P<0.01)。6个月时治疗组存活率(78.26%)明显高于对照组(47.83%)，治疗组日常生活能力好于对照组(均P<0.01)。结论：微创颅内血肿引流术是治疗脑出血的一种有效方法，能明显提高疗效、改善患者生存质量。

    关键词：微创；颅内血肿引流术；脑出血

    Clinical analysis of cases with hypertensive cerebral hemorrhage treated by microtrauma drainage of intracranial hematoma

    LIU Wei, CHEN yi-min, LIN Yi-sheng,et al

    (The Second People's Hospital of Shantou, Guangdong Shantou 100050,China)

    Abstract: Objective：To observe the therapeutic effect of patients with hypertensive cerebral hemorrhage treated by microtrauma drainage of intracranial hematoma. Methods： 46 cases with cerebral hemorrhage are divided into two groups at randomly, the observation group treated by drainage of intracranial hematoma,the control group treated by traditional internal medicine. We observe the clinical effect after treatment one month and the ADL at sixth month. Results： After treatment one month ,the effective rate and excellent rate of the observation group(78.26%). At sixth month, the survival rate of observation group(78.26%) is higher than the control group(47.83%);the ADL of the observation group is better than the control group. Conclusion： The microtrauma drainage of intracranial hematoma is an effective way to treat the patients with cerebral hemorrhage ,it can improve the survival quality of the patients obviously. ......