Comparison Of Single Channel And Dual Channel Drainage For Hypertensive Intracerebral Hemorrhage

Objective: To explore the clinical efficacy of single-channel and doublechannel drainage in the treatment of hypertensive intracerebral hemorrhage and to provide an efficient and standardized treatment for hypertensive cerebral hemorrhage patients.Methods: The clinical data of 60 patients with hypertensive intracerebral hemorrhage from September 2016 to September 2017 in Hebei Yuxian People's Hospital were collected and randomly divided into experimental group and control group.Both groups underwent cranial dural hematoma drainage Surgery,accurate positioning of the hematoma site and make a mark,the experimental group to take dual-channel drainage,with the help of CT to determine the hematoma center,the puncture point to select the hematoma to the hematoma edge of the nearest cortex and hematoma center to the puncture point of the vertical distance were Determination of two-channel patients along the long axis of the forehead puncture point to choose to ensure that the direction of needle puncture needle parallel to the midline,the needle core puncture silicone tube inserted,pull out the needle core,the silicone tube indwelling for drainage.The control group to take a single-channel drainage,surgical operation with the experimental group.After 6 months of follow-up,the clinical outcomes,hematoma volume,GOS score,ADL grade and quality of life scores were compared between the two groups.Univariate analysis and multi-factor analysis were performed on the prognosis of the two-channel drainage hematoma evacuation in the experimental group.Factor regression analysis.Results:1.There was no significant difference between the two groups in the general data(P> 0.05).2.There was no significant difference in hematoma volume between the two groups before operation(P>0.05).After treatment,compared with preoperative,hematoma volume in both groups decreased significantly,P <0.05,the difference was statistically significant.Compared with the control group,the decrease of hematoma volume was more significant in the experimental group and the difference between the two groups was statistically significant(P<0.05).3.The two groups of patients in the treatment of efficiency,the experimental group the total effective rate was 93.33%,the control group,the total effective rate was 73.33%,the experimental group was significantly higher than the control group,P<0.05,the difference was statistically significant.4.The GOS score of the two groups was significantly better than that of the control group,but there was significant difference between the two groups(P<0.05)The difference was not significant(P>0.05).5.In the ADL grading,there were 6 cases of IV-V in the experimental group and 10 cases of IV-V in the control group,which was superior to the control group,but the difference was not statistically significant(P>0.05).There were 7 cases in test group III and 11 cases in control group III,the difference was not statistically significant(P>0.05).There were 17 cases in test group I-II and 9 cases in control group I-II,Statistical significance(P<0.05).6.Compared with the control group,the quality of life score of the two groups was significantly better than that of the control group at 1 month,3 months and 6 months follow-up,P<0.05,the difference was statistically significant Significance of learning.7.In the incidence of complications in the two groups,the complications in the control group and the experimental group mainly included rebleeding,hydrocephalus,upper gastrointestinal bleeding,pulmonary infection,intracranial infection,etc.,wherein the control group incidence rate was 40.00.%,the incidence rate of the experimental group was 23.33%,and there was no significant difference between the two groups(P>0.05).8.Two-channel drainage hematoma clearance affects the prognosis.The results of single factor analysis showed that the preoperative GCS score,whether it broke into the ventricle,whether cerebral palsy or blood loss occurred,the prognosis group was significantly better than the poor prognosis group,P All were <0.05,and the difference was statistically significant.9.According to the results of multivariate analysis,the risk factors affecting the prognosis of patients in the two-channel drainage group were high preoperative GCS score,ruptured into the ventricle,cerebral palsy and more bleeding.Conclusion: Compared with single-channel minimally invasive drainage,in the practice of treating hypertensive intracerebral hemorrhage,it can quickly remove hematoma,reduce the mass effect of hematoma,effectively improve clinical efficacy,and play a certain role in monitoring the rebleeding of patients.The disability rate of patients has improved the quality of life of patients and provided efficient and standardized treatment for critically ill patients with hypertensive cerebral hemorrhage.In clinical practice,the basic conditions of patients should be considered comprehensively,and the influence of two-channel drainage on the prognosis of patients should be clearly defined.The risk factors are high preoperative GCS score,broken into the ventricle,cerebral palsy and more bleeding,providing patients with The best treatment plan.