Objective To investigate clinical efficacy of soft-channel minimally invasive puncture and drainage and hematoma removal by craniotomy in the management of acute cerebral hemorrhage and to compare their effects on National Institutes of Health Stroke Scale(NIHSS)scores and postoperative complication rates.Methods A total of 75 patients with acute cerebral hemorrhage admitted to our hospital from May 2021 to May 2023 were selected and divided into Group A(n=40)and Group B(n=35)according to different surgical methods.Group A were treated with soft-channel minimally invasive puncture and drainage,while Group B underwent removal of hematoma by craniotomy.Both groups were compared in terms of surgery-related indexes(hospitalization time,operation time,and bleeding volume),preoperative and postoperative cerebral hemodynamic parameters[arterial pulsatility index(PI),mean arterial velocity(Vm)],neurological function[CNS-specific proteins(S100β protein),soluble myeloid triggered receptor-1(sTREM-1),neural specific enolase(NSE)],the scores of NIHSS and the Brief Mental Status Scale(MMSE),as well as the incidence of postoperative complications.Results Group A had shorter hospitalization time,shorter operation time,and less bleeding than group B(both P＜0.001).At 1 and 3 months postoperatively,the PI index and NIHSS score were lower in group A than those in group B,and the Vm index and MMSE score were higher than those in group B(P＜0.01 or P＜0.001).At 1 week postoperatively,serum S100β protein,sTREM-1,and NSE levels were lower in group A than those in group B(P＜0.05 or P＜0.001).There was no statistically significant difference in the incidence of postoperative complications between the 2 groups(2.50%versus 8.57%,P＞0.05).Conclusions Soft-channel minimally invasive puncture and drainage can accelerate cerebral blood flow,improve cognitive ability,reduce neurological function damage,shorten hospitalization time,and promote the early recovery in patients with acute cerebral hemorrhage.
acute cerebral hemorrhagesoft-channel minimally invasive puncture and drainagehematoma removal by craniotomyNational Institutes of Health Stroke Scale
万方数据
维普
