Abstract：Objective To investigate the clinical effect of craniotomy operation and cone skull suction therapy in treatment of cerebral hemorrhage.Methods Altogether 81 cases of patients who were diagnosed as cerebral hemorrhage and underwent parallel surgical treatment in our hospital from December 2013 to October 2015 were enrolled in the study and randomly divided into two groups，with 40 patients in control group and 41 cases in treatment group.Patients in the control group was treated with traditional small bone window craniotomy hematoma removal，while patients in the treatment group accepted skull puncture aspiration and bloody swollen clearance therapy.Post-operative 3 d CT（computerized tomography）was performed to observe hemorrhage absorption and the clinical curative effects in two groups were compared.Results Although GCS in two groups were increased post-operatively，a more remarkable improvement as well as the proportion of less cases of severe coma and death according to GCS after postoperative 24 hours was seen in treatment group，with a significant difference （P＜0.05）.Additionally，shorter duration of surgery，length of hospitalization and post-operative extubation time in the treatment group also showed superiority over those in the control group，with a significant difference （P＜0.05）.As for nerve functions，an increase of Barthel index of patients in two groups after 7-day and 14-day treatment was found，especially for patients in treatment group，with a significant difference（P＜0.05）；In addition，treatment group had higher excellent and good rate in Barthel score，with a significant difference （P＜0.05）.The hematoma clearance rate in two groups showed no significant difference（P＞0.05）.Conclusion The craniotomy operation and cone skull suction therapy can obtain good curative effect in treatment of cerebral hemorrhage，among which the cone skull suction therapy is featured with less invasion and fast recovery and deserves wider popularization.
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