本临床实践指南(CPG)的目的是为原发性脑出血(ICH)的医学和外科治疗提供当前和全面的建议。自从韩国第一个中风CPG发布以来,在ICH的管理中积累了证据,如颅内压控制和微创手术,它需要反映在更新的版本中。2007年6月至2013年6月,韩国脑血管外科医师协会质量控制委员会和卒中临床研究中心(CRCS)的写作小组系统地回顾了相关文献和主要发表的指南。根据公布的证据,建议进行了综合,使用CRCS改编的方法确定证据水平和推荐等级。专家同行评审员对准则草案进行了审查,并在专家共识会议上进行了讨论,直到达成最终协议。提出了基于科学证据的CPG,用于对患有原发性ICH的患者进行医疗和手术管理。该CPG描述了当前的相关建议,并建议了韩国对原发性ICH患者的医疗和手术管理的建议。
The purpose of this clinical practice
guideline (CPG) is to provide current and comprehensive recommendations for the medical and surgical management of primary intracerebral hemorrhage (ICH). Since the release of the first Korean CPGs for stroke, evidence has been accumulated in the management of ICH, such as intracranial pressure control and minimally invasive surgery, and it needs to be reflected in the updated version. The Quality Control Committee at the Korean Society of cerebrovascular Surgeons and the Writing Group at the Clinical Research Center for Stroke (CRCS) systematically reviewed relevant literature and major published
guidelines between June 2007 and June 2013. Based on the published evidence, recommendations were synthesized, and the level of evidence and the grade of the recommendation were determined using the methods adapted from CRCS. A draft
guideline was scrutinized by expert peer reviewers and also discussed at an expert
consensus meeting until final agreement was achieved. CPGs based on scientific evidence are presented for the medical and surgical management of patients presenting with primary ICH. This CPG describes the current pertinent recommendations and suggests Korean recommendations for the medical and surgical management of a patient with primary ICH.