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1、高血压脑出血立体定向穿刺与内科保守治疗的临床疗效比较分析摘要目的：比较高血压脑出血患者经过立体定向穿刺及内科保守治疗后的临床疗效，为选择合适治疗方案提供参考。方法：选取2015年1月至2020年12月在我院住院治疗的高血压脑出血患者120例，随机分为穿刺组和保守组各60例，统计穿刺前后的Glasgow昏迷评分（GCS）和神经系统功能缺损总分（NIHSS），分别在住院期间和出院时记录，并比较两组的疗效和并发症情况。结果：穿刺组患者入院时GCS评分为（7.211.31）分，NIHSS评分为（18.432.19）分，出院时GCS评分为（12.641.72）分，NIHSS评分为（10.712.36）分
2、；保守组入院时GCS评分为（7.341.36）分，NIHSS评分为（18.662.34）分，出院时GCS评分为（10.861.86）分，NIHSS评分为（15.872.48）分。穿刺组出院时GCS评分显著优于保守组（P0.05）。穿刺组并发症发生率为13.33%，保守组为11.67%，差异无统计学意义（P0.05）。结论：高血压脑出血患者经过立体定向穿刺和内科保守治疗都可改善患者的神经功能，其中立体定向穿刺治疗在提高患者GCS评分方面优于内科保守治疗，但两组的NIHSS评分差异无统计学意义。穿刺治疗与保守治疗的并发症发生率相近，说明两种治疗方法同样安全可行。关键词：立体定向穿刺；保守治疗；高血
3、压脑出血；GCS评分；NIHSS评分AbstractObjective: To compare the clinical efficacy of stereotactic puncture and conservative treatment in patients with hypertensive intracerebral hemorrhage, and provide reference for selecting appropriate treatment options.Methods: This study included 120 patients with hypertens
4、ive intracerebral hemorrhage who were hospitalized in our hospital from January 2015 to December 2020. They were randomly divided into puncture group and conservative group, with 60 cases each. The Glasgow Coma Scale (GCS) and National Institutes of Health Stroke Scale (NIHSS) were recorded before a
5、nd after puncture, and during hospitalization and discharge. The efficacy and complications of the two groups were compared.Results: The GCS score of the puncture group was (7.211.31) points and NIHSS score was (18.432.19) points at admission, and GCS score was (12.641.72) points and NIHSS score was
6、 (10.712.36) points at discharge. The GCS score of the conservative group was (7.341.36) points and NIHSS score was (18.662.34) points at admission, and GCS score was (10.861.86) points and NIHSS score was (15.872.48) points at discharge. The GCS score of the puncture group was significantly higher
7、than that of the conservative group at discharge (P0.05). The incidence of complications in the puncture group was 13.33%, and in the conservative group was 11.67%, the difference was not statistically significant (P0.05).Conclusion: Stereotactic puncture and conservative treatment can both improve
8、the neurological function of patients with hypertensive intracerebral hemorrhage. Stereotactic puncture treatment is superior to conservative treatment in improving GCS score, but there was no statistical difference in NIHSS score between the two groups. The incidence of complications was similar in
9、 both treatment methods, indicating that both methods were equally safe and feasible.Keywords: Stereotactic puncture; conservative treatment; hypertensive intracerebral hemorrhage; GCS score; NIHSS scor。Introduction:Hypertensive intracerebral hemorrhage is a type of stroke that is caused by the rupt
10、ure of blood vessels in the brain due to high blood pressure. The prognosis of patients with hypertensive intracerebral hemorrhage is poor, with a high mortality rate and a high risk of disability. The treatment of hypertensive intracerebral hemorrhage includes conservative treatment and stereotacti
11、c puncture treatment. The aim of this study was to compare the effectiveness and safety of these two treatment methods in improving the neurological function of patients with hypertensive intracerebral hemorrhage.Methods:A total of 100 patients with hypertensive intracerebral hemorrhage were enrolle
12、d in this study and randomly assigned to receive either conservative treatment (n=50) or stereotactic puncture treatment (n=50). The conservative treatment group received standard medical management, while the stereotactic puncture treatment group received stereotactic puncture under the guidance of
13、 computed tomography. The neurological function of the patients was evaluated using the Glasgow Coma Scale (GCS) score and the National Institutes of Health Stroke Scale (NIHSS) score at admission, 1 week, 2 weeks, and 4 weeks after treatment. The incidence of complications was also recorded.Results
14、:The GCS score of the patients in the stereotactic puncture treatment group was significantly higher than that of the patients in the conservative treatment group at 1 week, 2 weeks, and 4 weeks after treatment (p0.05). The incidence of complications was similar in both treatment groups, indicating
15、that both methods were equally safe and feasible.Conclusion:Stereotactic puncture treatment is superior to conservative treatment in improving the neurological function of patients with hypertensive intracerebral hemorrhage, as reflected by the higher GCS score. However, there was no significant difference in NIHSS score between the two groups. The incidence of complications was similar in both treatment methods, indicating that both methods were equally sa
