A Clinical Study Of Minimal Invasive Therapy For Hypertensive Intracerebral Hemorrhage

Objective: To investigate the effect and the safety of the minimal invasive therapy for the intracerebral hematoma in patients with hypertensive intracerebral hemorrhage (HICH).Methods: Between 2003/08/01 and 2005/08/01,154 cases of HICH were retrospectively included at Department of Neurology of Linzhou City Hospital. The control group was given the medical treatment. The surgical treatment group was treated by the minimal invasive therapy based on the medical treatment. The neurologic functional deficiency of the two groups were measured before surgical treatment and 21th day after surgical treatment according to the Stroke Scale (formulated by the forth national stroke conference). The decrease of the neurologic functional deficiency scores and the effect in surgical treatment group were compared with that in the control group. The operating timing, the volume of the first drainage of intracerebral hematoma and postsurgical recurrent bleeding rate were described. All the unordered categorical variables were tested by x~2 test , the ordinal categorical variables were tested by Rank Sun test, and all the numerical variables were test by T test.Result: The decrease of the patients' neurologic functional deficiency in surgical treatment group was significantly superior to those in the control group (t=4. 23, p<0.01) .The effect of surgical treatment is significantly superior to that in the control group. (Z=-3. 963,p<0.01). In the surgical treatment group, the mortality...