目的:探讨脑室内出血3种治疗方法的临床疗效及经济学评价。方法:选取符合标准的脑室内出血患者90例,随机分为3组。第1组采用微创+中西医结合的治疗方法,第2组采用微创+西医内科的治疗方法,第3组采用单纯西医内科的治疗方法;3组均在治疗28天时进行神经功能缺损程度评分,治疗90天时对日常生活活动能力、合并症与死亡原因、住院天数与住院费用进行分析。结果:治疗后患者的临床疗效评分、日常生活活动能力评分及合并症的发生方面,第1组明显优于第2、3组。第1组的住院天数和住院费用明显少于第2、3组。结论:采用微创+中西医结合的方法治疗脑室内出血能够明显提高临床疗效,节约住院费用。 Objective: To investigate the clinical efficacy and economic evaluation of three kinds of treatment of intraventricular hemorrhage. Methods: Ninety patients with intraventricular hemorrhage were selected and randomly divided into three groups. The first group was treated with minimally invasive combined with traditional Chinese and western medicine, the second group was treated with minimally invasive and Western medicine, and the third group was treated with western medicine alone. All the three groups were treated for 28 days with neurological deficits Score, 90 days of treatment of daily living activities, complications and causes of death, hospitalization days and hospitalization costs were analyzed. Results: After treatment, the clinical efficacy score, daily living activity score and incidence of complications, the first group was significantly better than the second and third groups. The hospitalization days and hospitalization costs in group 1 were significantly less than those in groups 2 and 3. Conclusion: The method of minimally invasive combined Chinese and Western medicine treatment of intraventricular hemorrhage can significantly improve the clinical efficacy and save hospitalization costs.