Neuroendoscopy Combined With Small Bone Window In The Treatment Of Hypertensive Intracerebral Hemorrhage And Analysis Of TCM Syndrome Factors After Operation

ObjectiveTo review the clinical and economic value of endoscopic craniotomy with traditional craniotomy in the treatment of hypertensive intracerebral hemorrhage.At the same time,the characteristics of TCM syndrome factors after intracerebral hemorrhage were analyzed to provide evidence for the diagnosis and treatment of Chinese medicine after intracerebral hemorrhage.MethodsFrom September 2015 to February 2017 were retrospectively collected in Guangdong Province Traditional Chinese Medical Hospital of Fangcun Department of Neurosurgery treatment in patients with hypertensive cerebral hemorrhage,with endoscopic combined with small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage and 17 patients were selected,were investigated in 23 cases of patients with traditional craniotomy in treatment of hypertensive cerebral hemorrhage.The surgical,postoperative and economic related indexes of the two groups were compared.At the same time,according to "collection table" of TCM syndrome data of cerebral hemorrhage patients were selected on the day of admission,the material collected at seventh,fourteenth days after transplantation the TCM four diagnostic information,analysis of the characteristics of cerebral hemorrhage after TCM syndromes.SPSS statistical software is used to analyze the data..ResultsThere were no statistically significant differences in the basic condition of the two groups before operation,including the average age and sex constituent ratio,the amount of bleeding before operation and the GCS score(P > 0.05).Compared with craniotomy,neuroendoscopy had obvious advantages in the operation time,the amount of bleeding,the clearance of hematoma(P < 0.05).The average hospitalization time and the number of NICU days in the hospital in endoscopic neurosurgery group was shorter than that in craniotomy group.Postoperative mortality and complication rate were lower than those in craniotomy group.The GCS score at 7 days after the operation and GOS score at discharge were higher than those in craniotomy group.However,there was no significant difference in statistical analysis(P > 0.05).Wind syndrome,heat syndrome and phlegm syndrome are the main factors of cerebral hemorrhage,and the proportion of wind syndrome is decreased with the development of the course of disease.The phlegm syndrome always occupies a high proportion,which runs through the process of cerebral hemorrhage after stroke.Qi deficiency syndrome is increasing with the course of disease,and the incidence of phlegm syndrome and Qi deficiency syndrome in 14 days is significantly higher than that of other syndromes.According to the GCS grading analysis,it was statistically significant(P <0.05)to increase the incidence of phlegm syndrome gradually with the disease.Conclusion1.neuroendoscopy combined with small bone window hematoma is a safe and effective surgical treatment for hypertensive intracerebral hemorrhage.Compared with traditional craniotomy,the operation time is short,the amount of bleeding is less,the postoperative mortality and complications are relatively few,and the recovery of nerve function is faster after operation.2.after the operation of hemorrhagic stroke,the main factors of TCM syndrome were wind,phlegm and heat,and there was a certain law of evolution.The latter was mainly phlegm syndrome and Qi deficiency syndrome in the later stage of the disease..