【摘 要】目的：探讨高血压脑出血开颅与钻孔引流的临床疗效差异。方法：收集我院高血压脑出血患者，随机分为：研究组(接受钻孔引流术)和对照组(接受开颅术)。 对比(1)两组术后1月GOS评分及Barthel 评分。(2)两组术后并发症。结果：两组术后1月GOS评分及Barthel 评分比较有差异(P<0.05)；两组术后第 1 天血肿清除率比较有差异(P<0.05)。结论：目前高血压脑出血发病率逐年增高，与开颅手术相比，钻孔引流术对患者疗效肯定，术后患者神经康复佳。

    【关键词】高血压；脑出血；开颅；钻孔引流

    【Abstract】Objective： To investigate the clinical efficacy of craniotomy and drilling drainage for hypertensive intracerebral hemorrhage. Methods： the patients with hypertensive intracerebral hemorrhage in our hospital were randomly divided into two groups： the study group (receiving drilling drainage) and the control group (craniotomy). Comparison (1) two groups of postoperative GOS score and Barthel score in January. (2) postoperative complications of the two groups.Results： there were significant differences in GOS score and Barthel score between the two groups after operation (P<0.05)； the hematoma clearance rate of the two groups after first days of operation was different (P<0.05) ......