Prospective control study of precise stereotactic hematoma evacuation and expectant treatment in small hypertensive cerebral hemorrhage
10.3760/cma.j.issn.1671-8925.2016.07.005
- VernacularTitle:小型高血压性脑出血精准清除术与保守治疗的前瞻性对照研究
- Author:
Hao WANG
1
;
Shen HU
;
Yi FENG
;
Qiangguo WEI
;
Jie LUO
;
Weijian SONG
Author Information
1. 深圳市人民医院神经外科
- Keywords:
Hypertension intracerebral hematoma;
Stereotactic hematoma evacuation;
Expectant treatment
- From:
Chinese Journal of Neuromedicine
2016;15(7):669-673
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical valence and resource consumption between precise stereotactic hematoma evacuation and expectant treatment in treating small hypertensive cerebral hemorrhage. Methods A total of 68 patients with small hypertensive cerebral hemorrhage (hemorrhage volume less than 30 mL), admitted to our hospital from January 2012 to August 2015, were divided into precise stereotactic hematoma evacuation group (n=32) and expectant treatment group (n=36) by clinical research methods of prospective randomized controlled and blind assessment. Preliminary treatment effects were evaluated by CT scan, Glasgow coma scale (GCS) and modified Rankin scale (mRS); hospital day and hospitalization costs were used for evaluating the consumption of social resources. Results Evacuation rate of hematoma was 88.38%±2.15%, hospital day was (7.2 ± 2.8) days, average hospitalization fee was (22257.6 ±2512.3) yuans, GCS scores were 14.5 ±0.5, mRS scores were 2.21 ±0.46 at 6 weeks after treatment in precise stereotactic hematoma evacuation group;evacuation rate of hematoma was 26.17%±1.99%%, hospital day was (18.6+3.2) days, average hospitalization fee was (25226.3 ±2212.8) yuans, GCS scores were 12.0 ±0.75, mRS scores were 3.18 ± 0.41 at 6 weeks after treatment in precise stereotactic hematoma evacuation group; the differences between the two groups were statistically significant (P<0.05). Conclusion For small hypertensive cerebral hemorrhage, precise stereotactic hematoma evacuation is prior to expectant treatment and can shorten rehabilitation period and improve the overall prognosis.
