Observation Of The Clinical Efficacy Of The Treatment Of Hypertensive Cerebral Hemorrhage With Minimally Invasive Puncture Drainage

Objective:To explore the clinical curative effect of minimally invasive puncture drainage treatment of hypertensive cerebral hemorrhage. This study by comparing the clinical curative effect of mini invasive drainage and craniotomy surgery operation in treatment of hypertensive cerebral hemorrhage, Explore minimally invasive puncture drainage clinical advantage for the treatment of hypertensive cerebral hemorrhage, In order to better guide clinical treatment. Methods:The author selected the hospital in January 2012- June 2013 treated 72 cases of patients with HICH, All patients after diagnosis of brain CT scan, Diagnostic criteria accord with standard of the fourth asian-australasian conference on cerebrovascular on hypertensive cerebral hemorrhage. 72 patients were randomly divided into observation group and control group in two groups, The two groups were similar in age, gender, location of hemorrhage, bleeding, preoperative GCS score and onset to operation time etc. compared, There was no statistically significant difference(P>0.05), Two sets of data were comparable. Observation group were treated minimally invasive drainage, The control group was craniotomy, Comparison of two groups of operation time, intraoperative blood loss, treatment effectiveness, postoperative recovery and complications. Results:(1)Observation group average operation time was(46.54±6.36)min, Surgery average blood loss was(90.50 ± 22.06) ml. Control group average operation time was(100.62 ±8.54)min, Surgery average blood loss was(320.20±35.15)ml. Comparing the two groups, The operative time and intraoperative blood loss observation group was obviously less than the control group, The difference was statistically significant(P<0.05).(2) After treatment, 33 cases of patients in the observation group therapy effective, The total effective rate was 91.67%.26 cases of patients in the control group therapy effective, The total effective rate was 72.22%. Comparing the two groups, The observation group total effective rate was significantly better than the control group, The difference was statistically significant(P<0.05).(3) All patients were followed up for 6 months, ADL scores were evaluated long-term effects,(I + II, III) level as good recovery rate, Comparing the two groups, The observation group was significantly better than the control group, The difference was statistically significant(P<0.05).(4) Postoperative complications in patients with two groups of statistics, Observation group the incidence of postoperative complications was 11.11%, The control group the incidence of postoperative complications was 33.33%. Comparing the two groups, The incidence of postoperative complications in the observation group was significantly lower than the control group, The difference was statistically significant(P<0.05). Conclusions:(1) Observation group compared with the control group, The operative time and intraoperative blood loss observation group was obviously less than the control group.(2) Observation group compared with the control group, The observation group total effective rate was significantly better than the control group.(3) All patients were followed up for 6 months, The observation group was significantly better than the control group.(4) Complications of Statistics, Postoperative complications minimally invasive puncture drainage group was obviously less than the surgical craniotomy.