Comparative Analysis of Neuroendoscopic Hematoma Removal Surgery and Conservative Treatment for Hypertensive Intracerebral Hemorrhage Above the Cerebellar Tentorium(Hematoma Volume 20～40 mL)
Objective:To explore the clinical efficacy of surgical and non-surgical treatment for supratentorial cerebral hemorrhage(hematoma volume 20～40 mL).Methods:80 patients with hypertensive intracerebral hemorrhage in the hospital with a supratentorial hematoma volume ranging from 20～40 mL were selected as the study subjects,and randomly divided into two groups:the neuroendoscopic hematoma removal surgery group and the conservative treatment group,with 40 patients in each group.The clinical indicators of both groups after treatment,as well as the NIHSS score and GOS score at 3 months after treatment,were compared.Results:The average hospitalization time and the average hospitalization cost of the neuroendoscopic hematoma removal surgery group were lower than those of the conservative treatment group.The hematoma removal rates and the GCS scores on the 7th day after treatment were higher than those of the conservative treatment group.The NIHSS score of the neuroendoscopy group was lower than that of the conservative treatment group 1 month and 3 months after treatment,and the GOS score was higher than that of the conservative treatment group 1 month and 3 months after treatment,with statistically significant differences(t=3.995,0.218,4.927;P＜0.05).Conclusion:Neuroendoscopic hematoma removal surgery can improve the prognosis of patients with hypertensive intracerebral hemorrhage(hematoma volume 20～40 mL),and reduce hospital stay and medical burden.
NETL
NSTL
万方数据
