Comparison of curative effects of minimally invasive surgery and conservative treatment for hypertensive intracerebral hemorrhage

Abstract

Objective To compare the clinical effect of minimally invasive operation and conservative treatment on hypertensive intracerebral hemorrhage. Methods From January 2015 to January 2018, 85 patients with hypertensive intracerebral hemorrhagein in Gujiao Mining Area General Hospital of Xishan Coal and Electricity Group were selected.According to the treatment methods, the patients were divided into two groups: the minimally invasive operation group(n=46) and the conservative treatment group(n=39). The minimally invasive operation group was treated with minimally invasive surgery, and the conservative treatment group was treated with the conservative therapy of neurology.The clinical efficacy and hospital stay of the two groups were compared.The incidence of complications, neurological impairment score, ADL score and prognosis of the teo groups were compared. Results The total effective rate of the minimally invasive surgery group was 95.65%, which was higher than 79.49% of the conservative treatment group(χ2=5.586, P<0.05). The length of hospitalization in the minimally invasive surgery group was (8.52±2.31)d, which was significantly shorter than (11.79±3.05)d in the control group (t=5.617, P<0.05). The incidence rate of complication of the minimally invasive surgery group was 6.52%, which was lower than 25.64% of the conservative treatment group(χ2=5.955, P<0.05). After treatment, the nerve function defect score of the two groups was significantly reduced (t=9.455, 16.773, all P<0.05), the daily life ability score was significantly increased (t=8.372, 14.085, all P<0.05), which in the invasive surgery group were better than those in the conservative treatment group(t=6.974, 5.063, all P<0.05). The good prognosis rate of the minimally invasive surgery group was 67.39%(31/46), which was significantly higher than 43.59%(17/39) of the conservative treatment group (χ2=4.864, P<0.05). Conclusion Minimally invasive surgery is superior to conservative treatment in the treatment of hypertensive intracerebral hemorrhage. Key words: Cerebral hemorrhage; Hypertension; Surgical procedures, minimally invasive; Controlled clinical trial