Abstract：Objective To explore the effect of skull puncture drainage and borehole drainage treating hypertensive cerebral hemorrhage. Methods Totally 40 patients with hypertensive cerebral hemorrhage treated in the department of neurosurgery of our hospital from March 2015 to June 2019 were selected as research subjects.They were divided into observation group(n=20)and control group(n=20)by the random number table method.Patients in the control group were treated with borehole drainage, and patients in the observation group were treated with skull puncture drainage.The total incidence of bleeding, surgical parameters, neurological impairment score, daily living ability score and therapeutic effect were compared between the two groups. Results The total incidence of bleeding in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05).The operation time, hospitalization time and hematoma clearance time of the observation group were shorter than those of the control group, with statistically significant differences(P＜0.05).There were no statistically significant differences in the scores of neurological impairment and the scores of daily living ability before treatment between the two groups (P＞0.05).On the 7th day after treatment, the scores of neurological impairment in both groups were lower than those before treatment, and the scores of daily living ability were higher than those before treatment,with statistically significant differences (P＜0.05).On the 7th day after treatment, the neurological impairment score of the observation group was lower than that of the control group,and the daily living ability score was higher than that of the control group,with statistically significant differences(P＜0.05).The total effective rate of the observation group (95.00%) was higher than that of the control group (70.00%), and the difference was statistically significant (P＜0.05). Conclusion For patients with hypertensive cerebral hemorrhage, skull puncture drainage can significantly reduce the bleeding rate, shorten the hospital stay, reduce the hematoma clearance time, alleviate neurological impairment and improve quality of life.It is worth promoting in the clinic.
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