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目的:评价高血压脑出血内、外科规范化治疗的疗效。方法:多中心前瞻性、随机对照比较内外科规范化治疗的效果。结果:外科组２６６例,内科组２３４例。按Ｌｏｇｉｓｔｉｃ模型统计,外科组近期和远期疗效明显优于内科组。外科组近期死亡率９．８%,远期死亡率１１．８%,并发症发生率均低于内科组。结论:高血压脑出血外科规范化治疗疗效优于内科规范化治疗。
Objective: To evaluate the curative effect of standardized treatment of hypertensive intracerebral hemorrhage. Methods: A multicenter, prospective, randomized, controlled study comparing the effects of standard and internal medicine treatment. Results: There were 266 cases in surgical group and 234 cases in internal medicine group. Statistics by Logistic model, the surgical group in the short term and long-term efficacy was significantly better than the medical group. The surgical group had a 9.8% mortality rate and a long-term mortality rate of 11.8%. Complications were lower in the surgical group than in the medical group. Conclusion: Hypertensive intracerebral hemorrhage standardization of surgical treatment is better than the standardization of medical treatment.