目的 观察定向钻孔穿刺血肿清除术治疗高血压脑干出血的疗效。方法 2017年1月—2021年2月160例高血压脑干出血患者被纳入观察对象,随机分为研究组（n=80例,行定向钻孔穿刺血肿清除术）和对照组（n=80例,行传统保守治疗）,治疗6个月后,观察两组疗效。结果 治疗前,两组NIHSS评分、MMSE评分无显著性差异（P>0.05）;治疗后,研究组NIHSS评分、MMSE评分显著高于治疗前（P<0.05）,且研究组NIHSS评分、MMSE评分显著高于对照组（P<0.05）。研究组治疗总有效率显著高于对照组（P<0.05）。结论 定向钻孔穿刺血肿清除术治疗高血压脑干出血能显著改善患者神经功能和智力认知水平,预后良好。
Objective To observe the effect of directional drilling and puncture hematoma removal on hypertensive brainstem hemorrhage. Methods A total of 160 patients with hypertensive brainstem hemorrhage from January 2017 to February 2021 were enrolled and randomly divided into a study group （n=80, who received directional drilling and puncture hematoma removal） and a control group （n=80, who received traditional craniotomy hematoma removal）. After 6 months of treatment, the effects of the two groups were observed. Results Before treatment, there were no significant differences in NIHSS score and MMSE score between the two groups （P>0.05）. After treatment, the NIHSS score and the MMSE score of the study group were significantly higher than those before treatment （P<0.05）, and were significantly higher than those of the control group （P<0.05）. The total effective rate of the study group was significantly higher than that of the control group （P<0.05）. Conclusion Directional drilling and puncture hematoma removal in the treatment of hypertensive brainstem hemorrhage can significantly improve the neurological function and intellectual cognition level of patients, and the prognosis is good.
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