Comparison of effects of skull conical puncture drainage and drilling puncture drainage in treatment of patients with moderate hypertensive cerebral hemorrhage
Objective:To compare effects of skull conical puncture drainage and drilling puncture drainage in treatment of patients with moderate hypertensive cerebral hemorrhage(HICH).Methods:A prospective study was conducted on 82 patients with moderate HICH admitted to this hospital from January 2020 to January 2023.They were divided into study group(n=41)and control group(n=41)by using the random number table method.The study group was treated with skull conical hole puncture drainage,while the control group was treated with skull drilling puncture drainage.The hematoma clearance rate,the perioperative index levels,the serum inflammatory factors[C-reactive protein(CRP),procalcitonin(PCT),tumor necrosis factor-α(TNF-α)]levels before and after the surgery,the neurological deficit degree[National Institutes of Health stroke scale(NIHSS)]score,the activities of daily living(Barthel index),and the incidence of complications 1 month after the surgery were compared between the two groups.Results:There was no significant difference in the hematoma clearance rate between the two groups(P>0.05).The operation time,the skin incision length and the hospitalization time of the study group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).Seven and fourteen days after the surgery,the levels of serum CRP,PCT and TNF-α in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Three months after the surgery,the NIHSS scores of the two groups were lower than those before the surgery,and the Barthel indexes of the two groups were higher than those before the surgery,and the differences were statistically significant(P<0.05).but there were no significant differences between the two groups(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Skull conical puncture drainage can reduce the levels of perioperative indexes and serum inflammatory factors in the patients with moderate HICH.Moreover,it is superior to skull drilling puncture drainage.
HypertensionModerateCerebral hemorrhageSkull conical hole puncture drainageSkull drilling puncture drainageInflammatory factorNeurological deficit degreeActivity of daily living
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