The Retrospective Analysis Of Temporal Clearing Of Hematoma In Treatment Of Hypertensive Patients With Cerebral Hemorrhage In Basal Ganglia Region

Background Hypertensive patients may often happened with complications such as cerebral hemorrhage, which may cause a serious psychological and economic burden in patients and their families.Large trauma hematoma and small bone window hematoma are often used as clinical treatment for patients with hypertension cerebral hemorrhage. But there was still controversy between the two surgical methods. In this study, we aim to investigate the clinical observation on the efficacy of small bone window hematoma in the treatment of hypertension with basal ganglia hemorrhage via temporal.Objective To investigate the clinical observation on the efficacy of small bone window hematoma in treatment of the hypertension with basal ganglia hemorrhage via temporal.Methods Clinical data of 89 patients with cerebral hemorrhage in the basal ganglion were collected from march 2010 to march 2012. Inclusion criteria was that:patients with hypertension and cerebral hemorrhage, bleeding site located in the basal ganglia,the amount of bleeding more than 30ml, mild or moderate coma, stable vital signs. All the cases were divided into two groups:43 cases treated with the small bone window hematoma and 46 cases treated with the Large trauma hematoma. The curative effect observation and adverse reaction were compared between the two groups.Results1. The rate of patients with hematoma, GCS score, pupil recovery time (h), MESSS scores in observation group were (81.78±3.17), (9.21±3.52), (51.68±8.99), (14.43± 8.69); the rate of patients with hematoma, GCS score, pupil recovery time (h), MESSS scores in control group were (66.35±2.01), (11.34±3.98), (69.33±9.95), (19.97±9.63). and there was significant difference between the two groups (P<0.05)2. Blood loss in patients, the average length of hospital stay, operative time, rebleeding rates in the observation group were 57.87±23.54,16.32±3.64,79.33±10.06,3 (6.9%); blood loss in patients, the average length of stay, operative time, rebleeding ratein the control group were 89.74±37.39,23.69±5.58,117.62±8.77,2 (7.1%), respectively. Except rebleeding rate, other indicators, the observation group is superior to the control group and the difference was statistically significant (P<0.05).3. The total efficiency in observation group was significantly higher then control group, and the difference was statistically significant (P<0.05) 3.4. After the surgery was performed in four weeks, the prognosis in the observation group was significantly higher than the control group, and the difference between the two groups was statistically significant (P<0.05).Conclusion1. Compared to large trauma hematoma, a small bone window hematoma have surgical trauma, shorter operative time, less blood loss, faster recovery time, and shorter hospital stay.2. When the amount of patients bleeding was less than 50ml, small bone window hematoma treatment was better than the control group.However, when the amount of patients bleeding was higher than 50ml, the difference between the groups was not statistically significant.