The effect of early CT-guided minimally invasive positioning hole drainage in the treatment of hypertensive cerebral hemorrhage
10.3760/cma.j.issn.1008-6706.2014.20.018
- VernacularTitle:CT 定位引导下早期行微创钻孔引流治疗高血压脑出血临床观察
- Author:
Dunyan LENG
;
Sen CHEN
- Publication Type:Journal Article
- Keywords:
Intracranial hemorrhage,hypertensive;
Minimally invasive drilling drainage;
Tomography,X-ray computed
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(20):3089-3091
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore and analyze the safety , feasibility and efficacy of CT-guided minimally invasive positioning hole drainage in the treatment of hypertensive intracerebral hemorrhage .Methods 100 cases with hypertensive intracerebral hemorrhage were selected as the research subjects , according to a random number table method,the patients were randomly divided into the control group and observation group ,50 cases in each group.Pa-tients in the observation group were given early CT-guided minimally invasive positioning drill drainage 6-12h after the onset,and patients in the control group received conservative treatment .Results After treatment,daily living activi-ties of patients graded as grade Ⅰ,Ⅱin the observation group were 17 cases,19 cases,which were significantly more than those in the control group (6 cases,9 cases),while the number of grade Ⅲ15 cases in the control group was sig-nificantly more than 7 cases in the observation group .The excellent rate of the observation group was 86%,which was significantly higher than 60%of the control group .The time of consciousness recovery ,average catheter time ,hospital stay in the observation group were (11.2 ±2.2)h,(4.1 ±1.5)d,(6.2 ±2.4)d,which were significantly shorter than those in the control group [(17.4 ±2.8)h,(6.2 ±2.1)d,(11.1 ±1.8)d].The total effective rate of the ob-servation group was 82%,which was significantly higher than 52% of the control group (χ2 =10.15,P<0.05). Conclusion Early minimally invasive drilling drainage under CT guidance positioning in the treatment of patients with hypertensive intracerebral hemorrhage has significant effect ,it is safe and can improve the survival and life quali-ty of patients after surgery ,which is worth promoting .
