A Comparative Study of Puncture Drainage of Intracranial Hematoma and Removal of Bone Flap From Craniotomy Hematoma in the Treatment of Hypertensive Cerebral Hemorrhage
Objective:To compare the effect of puncture drainage and removal of bone flap from intracranial hematoma in the treatment of hypertensive cerebral hemorrhage(HCH).Method:The data of 62 patients with HCH from Xiamen Haicang Hospital from September 2021 to September 2023 were retrospectively collected as the study objects,and were divided into group A and group B according to different surgical protocols,with 31 cases in each group.The patients of group A received puncture and drainage treatment for intracranial hematoma,and the patients of group B received bone flap treatment for craniotomy hematoma.Perioperative indexes,National Institutes of Health Stroke Scale(NIHSS),modified Rankin Scale questionnaire(mRS)scores,stress response[malondialdehyde(MDA),substance P(SP),superoxide dismutase(SOD),C-reactive protein(CRP)levels before and after surgery,and incidence of complications were compared between the two groups.Result:The operation time,hospitalization time and getting out of bed time in group A were shorter than those in group B,and the intraoperative blood loss was lower than those in group B,and the difference was statistically significant(P<0.05).The score of NIHSS and mRS 3 months after operation and the incidence of complications during treatment in roup A were lower than those in group B,and the difference was statistically significant(P<0.05).The serum MDA,SP and CRP levels in group A were lower than those in group B,and the serum SOD level was higher than those in group B,and the difference was statistically significant(P<0.05).Conclusion:Compared with the treatment of HCH patients with craniotomy hematoma removal of bone flap,intracranial hematoma puncture drainage can further optimize perioperative indicators,reduce the damage to nerve function,reduce complications,promote the recovery of nerve function,and produce less stress response to the body,which is more conducive to improving the prognosis.
Hypertensive cerebral hemorrhageIntracranial hematoma puncture drainageCraniotomy hematoma removal of bone flap
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