The Efficacy Observation of Decompressive Craniectomy combined with Hematoma Aspiration in the Treatment of Hypertensive Intracerebral Hemorrhage
Objective To analyze the efficacy of decompressive craniectomy combined with hematoma aspiration in the treatment of hypertensive intracerebral hemorrhage(HICH).Methods A total of 86 patients diagnosed with HICH and admitted to Kaifeng People's Hospital between June 2021 and June 2023 were selected for inclusion in the study and analyzed retrospectively.The patients were grouped according to the differences in surgical protocols.The control group,comprising 43 patients,received hematoma debridement,while the observation group,comprising 43 patients,was treated with The surgical protocols included debridement flap decompression,with the observation group receiving hematoma debridement.The surgical indexes were observed in both groups,including complications,matrix metalloproteinase 9(MMP-9),interleukin-6(IL-6),C-reactive protein(CRP),National Institutes of Health Stroke Scale(NIHSS),Barthel Index(BI),Fugl-Meyer Assessment(FMA),surgical efficiency,and poor prognosis.Results(1)The observation group underwent surgery for a longer duration than the control group,exhibited lower postoperative intracranial pressure than the control group,spent a shorter period of time in the hospital than the control group,demonstrated higher surgical efficiency than the control group,and exhibited a lower adverse prognosis rate than the control group(P＜0.05).However,there was no statistically significant difference in the comparison of the amount of intraoperative blood loss and the incidence of complications between the two groups(P＞0.05).(2)A comparison of preoperative MMP-9,IL-6,CRP levels and NIHSS,BI and FMA scores between the two groups revealed no statistically significant difference(P＞0.05).However,postoperative MMP-9,IL-6,CRP levels and NIHSS scores of the observation group were found to be lower than those of the control group,while BI and FMA scores were higher than those of the control group,with a statistically significant difference(P＜0.05).Conclusion The combination of debridement,decompression,and hematoma removal has been demonstrated to effectively reduce intracranial pressure,improve inflammatory factors,promote cerebral blood flow reconstruction,and better restore neurological function in patients with intracranial hypertension.This approach has the potential to improve outcomes and strive for an ideal prognosis for patients.
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