Effectiveness of Early Step-by-step Controlled Decompression Surgery in the Treatment of Severe Hypertensive Intracerebral Hemorrhage
Objective To explore the effectiveness of early step-by-step controlled decompression surgery in the treat-ment of severe hypertensive cerebral hemorrhage.Methods A total of eighty-two patients with severe hypertensive in-tracerebral hemorrhage admitted to Liaocheng Third People's Hospital from July 2021 to July 2023 were non-randomly selected as the study objects,and were divided into two groups with forty-one cases each by different surgi-cal methods.The control group received routine craniotomy hematoma removal,and the observation group received early step-by-step controlled decompression surgery.The effective rate of treatment,cerebral edema volume,brain tis-sue injury related indexes,decompressive craniectomy and complication rate were compared between the two groups.Results The total effective rate of the observation group(92.68%)was higher than that of the control group(75.61%),and the difference was statistically significant(χ2=4.479,P<0.05).The postoperative cerebral edema volume of the observation group was lower than that of the control group,and the related indexes of brain tissue injury were lower than those of the control group,the difference was statistically significant(all P<0.05).There was no statistically sig-nificant difference in the incidence of decompressive craniotomy and the incidence of complications between the two groups(both P>0.05).Conclusion Early step-by-step controlled decompression surgery in the treatment of severe hypertensive cerebral hemorrhage is helpful to improve the curative effect,reduce brain edema and brain injury,and has high safety.
万方数据
维普
