The Clinical Study Of Micro-invasive Surgical Therapy Of Hypertensive Cerebral Hemorrhage

Objective: To compare the effect of different therapeutic methods of hypertensive cerebral hemorrhage(HICH). Methods: 34 patients with HICH (surgical group) were treated with micro-invasive surgical therapy, and 35 patients (drug group) matched with the surgical group in age, GCS, position and volume of intra-cerebral hematoma were treated only with drug therapy. The surgical group were treated with YL -1 puncture needle for intracranial hematoma fragmentation and washing liquid for hematoma. Results: 1) Before treatment, the surgical group and the drug group had the similar deficit of neurological function (the rates of mild cases, moderate cases, and severe cases were 3% vs 5.7%, 29.4% vs 37.2%, 67.6% vs 57.1%, x2= 0.920, p=0.631). The rate of severe cases of the surgical group was higher than that of the drug group, but the difference was not significant. 2) After 14 days of treatment, the rate of mild cases in the surgical group was higher than that in the control group (32.4% vs 14.3%), but the rate of severe cases was lower (26.4% vs 2.9%). The difference was statistically significant. However, the difference of activation of daily life (Rankin scale) between two groups was not significant. The rates of disability of the surgical and drug group was 91.2% vs 94.2%, and the difference of that was also not significant. 3) After 3 months of treatment, the difference of activation of daily life (Rankin scale) between two groups was significant...