The Clinical Evaluation Of Trepanation And Doubletube Drainage In Treatment Of Hich

Objectives To evaluate and compare the curative effect between the micro invasive craiopuncture combined with urokinases infusion therapy and the clearance of hematoma by craniotomy and ultra-early compared with early operation in treating patients with hypertensive intracerebral cerebral hemorrhage(HICH).Methods Retrospective analysis HICH patients treated in the Feng Nan region hospital from january 2013 to january 2015. All the patients were divider into craniotomy group(ultra-early 6 cases, early 19 cases) and micro-invasive craiopuncture group(ultraearly 25 cases, early 14 cases). Demographic characteristics, Glasgow Coma Scale(GCS), hematoma clearance rate, operation time, hospital day, post-hospital mortality, and rate of complication were compared between these groups. The Glasgow outcome scale(GOS) abd Daily life ability score(ADL) were recorded and evaluated the qualithy of life in patients with postoperative assessment.Results The main results of micro-invasive craiopuncture compared craniotomy with were as follows: 1 decreased operation time, hospital day(χ2=115.698, P=0.000; χ2=11.199, P=0.000); 2 reduced the rate of complication(χ2=5.517, P=0.023); 3 lower post-hospital mortality(χ2=4.675, P=0.031); 4 improvement of prognosis: there was a significant differece in favorable outcomes(GOS >4 grade) between craniotomy group and micro-invasive craniopuncture group after 6 mouth(χ2=4.441, P=0.035); 5 amelioration of quality of life: remarkablestatistically difference in daily living(ADL >40) after 6 mouth(χ2=4.582, P=0.032).Furthermore, there had no statistically difference in GCS, hematoma clearance rate, operation time, hospital day, post-hospital mortality, rate of complication, GOS and ADL between ultra-early compared with early operation. Conclusions The craniopuncture combined with urokinase infusion therapy could reduce the rate of complication after surgery. It also could improve the activities of daily living and prognosis of patients after 6 month. And ultra-early operation was a safe and pracitcal technique in HICH.