Clinical analysis of stereotactic intracranial hematoma aspiration in the treatment of hypertensive intracerebral hemorrhage

Abstract

Objective To investigate the clinical effect of stereotactic intracranial hematoma aspiration for patients with hypertensive intracerebral hemorrhage (HICH). Methods 100 patients with HICH in our hospital from August 2015 to March 2016 were randomly divided into two groups. The patients in craniotomy group were treated with conventional craniotomy, while the patients in stereotactic group were treated with stereotactic intracranial hematoma aspiration. Analyzed the physical dysfunction grade distribution, comatose state before and after treatment, the recovery effect, the overall treatment effect, postoperative complications of two groups. Results The physical dysfunction grade distribution in stereotactic group was significantly better than that in craniotomy group, with statistically significant difference (P<0.05). GCS score and GOS-E score in stereotactic group were higher than those in craniotomy group, with statistically significant differences (P<0.01). The total efficiency in stereotactic group was significantly higher than that in craniotomy group, with statistically significant difference (P<0.01). The incidence of gastrointestinal bleeding and secondary hemorrhage in stereotactic group were significantly lower than those in craniotomy group, with statistically significant differences (P<0.05); the overall incidence of complications in stereotactic group was significantly lower than that in craniotomy group, with statistically significant difference (P<0.01). Conclusion Stereotactic intracranial hematoma aspiration has significant clinical effect in patients with hypertensive intracerebral hemorrhage, of higher security, with great clinical significance. Key words: Hypertensive intracerebral hemorrhage; Stereotactic intracranial hematoma aspiration; Physical dysfunction; Complication