Abstract：Objective To investigate the effect of minimal invasion of cranial aspiration and drainage in older adult patients with hypertension intracerebral hemorrhage (HICC).Methods One hundred older adult patients with HICC in our hospital from August 2016 to December 2018 were selected as subjects.The patients were divided into the control group (n=50) and the study group (n=50) by the random number table method.Patients in the control group underwent craniotomy evacuation of hematoma,and in the study group,minimal invasion of cranial aspiration and drainage was used.The clinical effect,the National Institutes of Health stroke scale (NIHSS) score before and after surgery,the activity of daily living index (BI) before and after surgery,and the incidence of complications were compared between the two groups.Results The total therapeutic effectiveness rate in the study group was 92.00%,which was higher than that in the control group accounting for 72.00%,the difference was statistically significant (P＜0.05).There were no differences in the preoperative NIHSS score or preoperative BI score between the two groups (P＞0.05).After surgery,the NIHSS score was(12.02±2.03) points in the study group,which was lower than that in the control group for (15.10±2.85) points,the difference was statistically significant (P＜0.05).The BI score was (74.35±6.15) points in the study group,which was higher than that in the control group for (66.10±6.75) points,the difference was statistically significant (P＜0.05).The total incidence of complications in the study group was 4.00%,lower than that of the control group accounting for 16.00%,with statistical significance (P＜0.05).Conclusion The treatment of HICC older adult patients performed with minimal invasion of cranial aspiration and drainage can obtain a remarkable effect.This is worthy of clinical application.
Li X，Sun Z，Zhao W，et al.Effect of acetylsalicylic acid usage and platelet transfusion on postoperative hemorrhage and activities of daily living in patients with acute intracerebral hemorrhage[J].J Neurosurg，2013，118（1）：94-103.
[7]
Tapia-Pérez，JH，Gehring S，Zilke R，et al.Effect of increased glucose levels on short-term outcome in hypertensive spontaneous intracerebral hemorrhage[J].Clin Neurol Neurosurg，2014，118：37-43.
[8]
Wei P，You C，Jin H，et al.Correlation between serum IL-1β levels and cerebral edema extent in a hypertensive intracerebral hemorrhage rat model[J].Neurol Res，2014，36（2）：170-175.
京公网安备 11010502046607号