Controlled decompression under intracranial pressure monitoring for patients with hypertensive intracerebral hemorrhage and long-term aspirin use treated with soft channel puncture and drainage
10.3760/cma.j.issn.1671-8925.2018.05.014
- VernacularTitle:颅内压监测下控制性减压在软通道穿刺引流术治疗长期服用阿司匹林的高血压脑出血中的应用研究
- Author:
Jianguo YANG
1
;
Xingming ZHONG
Author Information
1. 313000,湖州市第一人民医院(湖州师范学院附属第一医院)神经外科
- Keywords:
Hypertensive cerebral hemorrhage;
Aspirin;
Intracranial pressure monitoring;
Controlled decompression;
Soft channel puncture drainage
- From:
Chinese Journal of Neuromedicine
2018;17(5):507-511
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of controlled decompression under intracranial pressure (ICP) monitoring for the patients with hypertensive intracerebral hemorrhage and long-term aspirin use in the treatment with soft channel puncture and drainage.Methods This prospective study enrolled 87 patients with hypertensive intracerebral hemorrhage and long-term aspirin use from the Department of Neurosurgery,The First People's Hospital of Huzhou from February 2013 to February 2017.They were divided into a control group (43 cases) and a treatment group (44 cases) according to their wishes.The control group was treated by conventional soft channel puncture and drainage while the treatment group by controlled depression under ICP monitoring in addition to soft channel puncture drainage.Results In the treatment group,the volume ofhematoma aspiration (ICP) was (10.38±3.24) mL,accounting for about 20％ of the initial hematoma.The time for retention of endovascular drainage tube in the treatment group (90.0±4.2 h) was significantly longer than that in the control group (73.0±3.8 h),and the hematoma clearance rate in the treatment group (80.0％±1.2％) was significantly lower than that in the control group (91.0％± 1.9％) (P＜0.05).The incidences of such postoperative complications as rebleeding,scalp leachate and intracranial infection (11.4％,9.1％ and 4.5％,respectively) in the treatment group were significantly lower than in the control group (34.9％,25.6％ and 11.6％,respectively) (P＜ 0.05).The recovery rate in the treatment group (77.3％) was significantly higher than in the control group (60.5％);the mortality rate in the former (9.1％) was significantly lower than in the latter (18.6％) (P＜ 0.05).Conclusion For patients with hypertensive intracerebral hemorrhage and long-term aspirin use,controlled decompression combined with soft channel puncture drainage under ICP monitoring can effectively improve their quality of life and prognosis.
