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目的:探讨微创清除术对神经内科老年重症脑出血的临床治疗效果。方法:选取60例重症脑出血患者作为研究对象,按照随机数字分组法将其分为研究组和对照组,对照组患者采取常规保守法进行治疗,研究组患者采取微创吸抽引流术进行治疗,并观察两种不同治疗方法的临床效果。结果:所有患者经有效治疗后,研究组患者好转25例,死亡5例,好转率为83.3%,对照组患者好转16例,死亡14例,好转率为53.3%,研究组患者好转率明显高于对照组,差异具有统计学意义(P<0.05);经3周有效治疗后,研究组患者神经功能评分明显优于对照组,差异具有统计学意义(P<0.05)。结论:微创吸抽引流术对神经内科老年重症脑出血患者临床效果较佳,该方法值得在临床推广应用。
Objective: To investigate the clinical effect of minimally invasive surgical resection on senile patients with severe intracerebral hemorrhage. Methods: Sixty patients with severe intracerebral hemorrhage were selected as study subjects. They were divided into study group and control group by random number grouping method. Patients in control group were treated by conventional conservative method. Patients in study group were treated with minimally invasive aspiration and drainage , And observed the clinical effect of two different treatment methods. Results: After effective treatment in all patients, the study group improved 25 cases, 5 died, the rate of improvement was 83.3%, the control group improved in 16 cases, 14 patients died, the improvement rate was 53.3%, the study group was significantly higher rate of improvement In the control group, the difference was statistically significant (P <0.05). After 3 weeks of effective treatment, the neurological score of the study group was significantly better than that of the control group (P <0.05). Conclusion: Minimally invasive aspiration drainage has better clinical effect in elderly patients with severe intracerebral hemorrhage in neurology. The method is worthy of clinical application.