Clinical effect analysis of minimally invasive removal of early intracranial hematoma in the treatment of mild to moderate hypertensive intracerebral hemorrhage in the basal ganglia region
Objective To analyze the clinical effect of minimally invasive removal of early intracranial hematoma in the treatment of mild to moderate hypertensive intracerebral hemorrhage(HICH)in the basal ganglia region.Methods 80 patients with mild to moderate HICH in the basal ganglia region were divided into a study group and a control group according to random number table method,with 40 cases in each group.The control group received conservative treatment,and the study group received minimally invasive removal of early intracranial hematoma.The therapeutic effect,neurological function score,cognitive function score and complications were compared between the two groups.Results The total effective rate of the study group was 95.00%,which was better compared with 77.50%of the control group,and the difference was statistically significant(P＜0.05).Before treatment,there was no significant difference in neurological function scores between the two groups(P＞0.05).After treatment,the neurological function score of(13.64±2.12)points in the study group was lower than(19.74±5.26)points in the control group,and the difference was statistically significant(P＜0.05).The study group had attention score of(5.71±0.43)points,naming score of(2.76±0.24)points,verbal fluency score of(1.99±0.37)points,orientation score of(5.97±0.45)points,delayed memory score of(2.96±0.33)points,abstract thinking score of(1.65±0.33)points,visuospatial execution score of(4.79±0.53)points,total score of(23.85±5.47)points,which were higher compared with(4.12±0.49),(2.04±0.03),(1.52±0.08),(4.06±0.32),(1.76±0.14),(1.14±0.21),(4.02±0.46)and(17.28±2.35)points in the control group.The difference was statistically significant(P＜0.05).The complication rate of 7.50%in the study group was lower than 25.00%in the control group,and the difference was statistically significant(P＜0.05).Conclusion The application of minimally invasive removal of early intracranial hematoma in patients with mild to moderate HICH in the basal ganglia region has a good effect,which can help patients better restore their neurological function,improve their cognitive function,reduce postoperative complications,effectively promote their early recovery,and is worth promoting clinically.
Early intracranial hematomaMinimally invasive surgeryHypertensive intracerebral hemorrhageCognitive functionBasal ganglia regionNeurological function
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