Curative effect of cerebrospinal fluid extraction on puncture and drainage for the treatment of hypertensive intracerebral hemorrhage on the basal ganglia
Objective To explore the influence of cerebrospinal fluid extraction on drainage effect and short-term prognosis in patients with hypertensive intracerebral hemorrhage(HICH)on the basal ganglia undergoing puncture and drainage combined with urokinase.Methods Clini-cal data of 75 HICH patients receiving puncture and drainage combined with urokinas were ana-lyzed retrospectively.Based on the presence or absence of CSF drainage during treatment,the differences of drainage effect,complications and short-term prognosis were compared between the group with cerebrospinal fluid extraction(A group)and the group without cerebrospinal fluid extraction(B group).Results Compared with group A,the residue hematoma volume was lower(P＜0.001)in group B.And the lengths of hospitalisation and drain tube stay were shorter in group B(P=0.002,P=0.003).While no significant differences in the postoperative complications and short-term prognosis were found between the two groups(P＞0.05).The rate of intracrani-al infection was significantly elevated in group A(P=0.027).Patients in Group A used less man-nitol during hospitalization(P=0.038).Conclusion It had a better drainage effect without cere-brospinal fluid extraction for HICH in the basal ganglia patients receiving puncture and drainage combined with urokinas.Meanwhile,the risk of intracranial infection and the average length of hospital stay reduced.Patients with intraventricular hemorrhage puncture and drainage combined with urokinas was an effective treatment for HICH on the basal ganglia.
Hypertensive intracerebral hemorrhage(HICH)Basal gangliaHematoma puncture and drainageUrokinase
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