Effect of minimally invasive removal of intracranial hematoma in curing hypertension cerebral hemorrhage of elderly patients
10.3760/cma.j.issn.1008-6706.2011.20.008
- VernacularTitle:微创颅内血肿清除术对老年高血压脑出血患者近期疗效的影响
- Author:
Jiufei WANG
;
Ming LI
;
Gang ZHAO
- Publication Type:Journal Article
- Keywords:
Minimally invasive;
Removal;
Cerebral hemorrhage;
Hypertension
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(20):2751-2752
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo compare the therapeutic effect of mininal]y invasive removal of intracranial hematoma and conservative treatment in curing hypertension cerebral hemorrhage of elderly patients.Methods60 patients with hypertension cerebral hemorrhage were divided into two groups.Group A were adopted minimally invasive removal of intracranial hematoma(YL-1 type puncture needle was used into the hematoma edge,and sucked slowly the hematoma), and group B were adopted medical treatment(antihypertensive drugs, dehydration, free radicals and nutrition conservative treatment) ,then clinical therapeutic effect and activity of daily living were observed.ResultsThe hematoma evacuation time in group A (4.5 ± 1.2) d is shorter than in group B (17.0 ± 1.9) d (t = 6.04 ,P ＜ 0.05) ; The rate of neurological function recovery in group A (66.7％) is higher than in group B(93.3％) (x2 = 5.46,P ＜0.05) ; The activity of daily living in group A (80.0％) was better than group B (50.0％) (x2 = 5.93, P ＜ 0.05).The complication rate in group A (30.0％) is lower than in group B (66.7％) (x2 = 8.08, P ＜ 0.05).ConclusionThe therapeutic effect of minimally invasive removal of intracranial hematoma in curing hypertension cerebral hemorrhage was better than medical treatment.
