Effect of CT-guided hematoma puncture combined with lateral ventricular drainage in the treatment of hypertensive brainstem hemorrhage and its influence on traumatic response
Objective To explore the effect of CT-guided hematoma puncture combined with lateral ventricular drainage in the treatment of hypertensive brainstem hemorrhage and its influence on traumatic response.Methods A total of 90 patients with hypertensive brainstem hemorrhage admitted from February 2020 to February 2022 were selected as the research objects.According to different surgical methods,the patients were divided into control group and observation group,with 45 cases in each group.The control group was treated with lateral ventricular drainage,and the observation group was treated with CT-guided hematoma puncture on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P＜0.05).Before operation,there were no significant differences in the levels of C-reactive protein(CRP),cortisol(Cor),norepinephrine(NE)and epinephrine(E)between the two groups(P＞0.05);after operation,the levels of CRP,Cor,NE and E in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion CT-guided hematoma puncture combined with lateral ventricular drainage has satisfactory effect in the treatment of hypertensive brainstem hemorrhage,it can reduce traumatic response and postoperative complications.
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