Cerebral Hemorrhage In Basal Ganglia Research Articles

Clinical Observation of Electro-acupuncture Combined with Early Rehabilitation Training to Treat Hypertensive Cerebral Hemorrhage In Basal Ganglia

In this study, we investigated the clinical efficacy and poor prognosis of patients with limb disorders after the operation of hypertensive cerebral hemorrhage, using the treatment of removing blood stasis and Shengxin acupuncture combined with early rehabilitation training using a randomized trial. A total of 100 patients with the hypertensive intracerebral hemorrhage who underwent surgery in our hospital from May 2019 to May 2021 were selected and divided into control group were treated with early rehabilitation training, and the intervention group was treated with acupuncture for removing blood stasis and promoting new acupuncture based on the control group. We observed that there was no significant difference in the evaluation of limb function recovery between the two groups of patients (P>0.05). After the intervention, the modified Ashworth score, FMA score, and B1 index of the two groups were significantly different in the ADL scores and the scores of families and friends support were remarkably improved. The clinical treatment efficiency of the intervention group was 94.00%, significantly higher than that of the control group of 80.00%, and the difference was statistically significant (P<0.05). The study demonstrated that the rehabilitation training combined with removing blood stasis and Shengxin acupuncture is significantly better than rehabilitation training alone to improve postoperative limb dysfunction, daily life and quality of life and is a clinical treatment for hypertension.

Therapeutic Effect of Electronic Endoscopic Hematoma Removal on Hypertensive Basal Ganglia Cerebral Hemorrhage Based on Smart Medical Technology.

The medical and health industry has successively experienced three stages of digital medical treatment, local area network medical treatment, and internet medical treatment. With the rapid development of technologies such as the Internet of Things, big data, and artificial intelligence, emerging applications and service models have gradually penetrated into all aspects of the medical and health field. At this point, the informatization development process of the medical industry has entered the stage of smart medical treatment. (Smart medical system is a new medical system that improves users' medical experience and provides users with better services. Due to the cumbersome, complicated, and mechanically rigid environment of the past medical service, there was no uniform standard. In order to create a reliable and open medical service environment, an intelligent medical system came into being.). A diversified technical foundation and smart medical protection, conducive to providing patients with high-quality medical services, are established. This article mainly introduces the analysis of the therapeutic effect of smart medical electronic endoscopic hematoma removal on hypertensive basal ganglia cerebral hemorrhage and aims to inject advanced technology and vitality of smart medical treatment into the treatment of hypertensive basal ganglia cerebral hemorrhage by hematoma removal and help the doctor to treat the patient. This article proposes the research methods of smart medical application in the treatment of hypertensive basal ganglia cerebral hemorrhage with electronic endoscopic hematoma removal, including smart medical overview, intracranial hematoma removal for hypertensive basal ganglia cerebral hemorrhage, and smart medical bioelectric signal classification. The recognition algorithm is used to realize the smart medical application of the electronic endoscopic hematoma removal in the treatment of hypertensive cerebral hemorrhage in the basal ganglia area. The experimental results show that the removal of intracranial hematoma based on smart medicine can effectively improve the removal rate of intracranial hematoma, with a recovery rate of 26.73% and a significant efficiency of 36.49%.

The Experience of Step Nursing Strategy in Patients with Basal Ganglia Cerebral Hemorrhage and Cerebral Hernia

The Experience of Step Nursing Strategy in Patients with Basal Ganglia Cerebral Hemorrhage and Cerebral Hernia

Analysis of the Effect of Neuroendoscopic Hematoma Evacuation Through Keyhole Approach in the Treatment of Cerebral Hemorrhage in Basal Ganglia of Moderate Hypertension

Analysis of the Effect of Neuroendoscopic Hematoma Evacuation Through Keyhole Approach in the Treatment of Cerebral Hemorrhage in Basal Ganglia of Moderate Hypertension

Clinical effect of directional soft-channel puncture and suction drainage in the treatment of spontaneous cerebral hemorrhage in basal ganglia and its influence on neurological function

Objective To investigate the clinical effect of directional soft-channel puncture and suction drainage in the treatment of spontaneous cerebral hemorrhage in basal ganglia and its influence on neurological function. Methods From January 2017 to December 2018, 61 patients with spontaneous cerebral hemorrhage in basal ganglia were selected in the First People's Hospital of Jiande.According to the random table method, they were divided into control group (30 cases) and observation group (31 cases). The control group was treated conservatively, while the observation group was treated with directional soft-channel puncture and suction drainage combined with conventional therapy.The therapeutic effects, NIHSS score, ADL score, brain edema volume change and complications were compared before treatment, 1 week after treatment and 2 weeks after treatment. Results The total effective rate of the observation group (96.77%) was higher than that of the control group (76.67%) (χ2=3.989, P<0.05). The NIHSS score of the observation group was (16.54±2.19)points at one week after treatment and (9.12±1.24)points at two weeks after treatment, which were lower than those of the control group [(19.98±1.65)points and (13.25±2, 37)points] (t=6.911, 8.568, all P<0.05). The ADL score of the observation group was (43.42±5.67)points at one week after treatment and (63.98±3.46)points at two weeks after treatment, which were higher than those of the control group [(37.89±2.86)points and (52.37±4.10)points] (t=4.785, 11.967, all P<0.05). The volume of brain edema of the observation group was (12.08±2.14)mL at 1 week after treatment and (4.37±0.89)mL at 2 weeks after treatment, which were lower than those of the control group [(16.89±3.20)mL and (9.74±1.07)mL] (t=6.922, 21.339, all P<0.05). The incidence of complications in the observation group (6.45%) was lower than that in the control group (30.00%) (χ2=5.720, P<0.05). Conclusion Directional soft-channel puncture and suction drainage is effective in the treatment of spontaneous cerebral hemorrhage in basal ganglia, which can reduce the degree of neurological deficit and with fewer complications, and it is worthy of clinical study. Key words: Cerebral hemorrhage; Paracentesis; Neurological deficit; Activity of daily living; Brain edema volume; Complications

Application value of sufentanil combined with propofol anesthesia in basal ganglia intracerebral hemorrhage

Objective To investigate the clinical value of sufentanil combined with propofol anesthesia in cerebral hemorrhage in basal ganglia. Methods From November 2015 to June 2018, 100 patients with cerebral hemorrhage in the basal ganglia of the People's Hospital of Shanxi Province were enrolled and randomly divided into two groups according to the digital table, with 50 cases in each group.The control group received fentanyl+ propofol, and the study group received sufentanil + propofol.At T0 (before induction of anesthesia), T1 (after anesthesia induction), T2 (after tracheal intubation), T3 (surgery), the hemodynamic parameters[mean arterial pressure (MAP), heart rate (HR)] level, postoperative recovery time (recovery of spontaneous breathing, recovery time and extubation time), preoperative and postoperative 6 h serum angiotensin Ⅱ (Ang Ⅱ), renin activity (PRA), neuron specific enolase (NSE) ), glial fibrillary acidic protein (GFAP) levels, the incidence of adverse reactions of the two groups were counted. Results (1)Hemodynamics: MAP and HR levels in the two groups were higher in T1, T2 and T3 than those in T0(all P<0.05), and HR and MAP in the study group were lower than those in the control group (all P<0.05). (2)Postoperative recovery: the time of extubation, recovery time and spontaneous breathing time of the study group were (12.42±3.27)min, (9.10±1.95)min, (7.32±2.23)min, respectively, which were shorter than those of the control group[(15.30±3.35)min, (12.67±2.18)min, (8.96±2.48)min] (t=4.350, 8.631, 3.477, all P<0.05). (3)Serum Ang Ⅱ and PRA: the serum Ang Ⅱ and PRA levels in the two groups at 6 h after surgery were higher than those before surgery(all P<0.05), and Ang Ⅱ, PRA levels of the study group were lower than those of the control group (t=4.350, 8.631, 3.477, all P<0.05). (4) Serum NSE and GFAP: the serum NSE and GFAP levels in the two groups at 6 h after surgery were higher than those before surgery(all P<0.05), and NSE, GFAP levels of the study group were lower than those of the control group (all P<0.05). (5) Adverse reactions: the incidence of adverse reactions in the study group [12.0%(6/50)] was lower than that in the control group [28.0%(14/50)] (χ2=4.000, P<0.05). Conclusion Sufentanil combined with propofol anesthesia in patients with cerebral hemorrhage in the basal ganglia can promote hemodynamic fluctuations, inhibit the increase of Ang Ⅱ and PRA, NSE and GFAP, and has less adverse reactions and high security. Key words: Cerebral hemorrhage; Anesthesia; Blood pressure; Heart rate; Hemodynamics; Sufentanil; Propofol

Prognostic value of early glycosylated hemoglobin and blood glucose levels in patients with basal ganglia cerebral hemorrhage.

This study was performed to analyze the relationships of the early glycosylated hemoglobin (GHb) level and blood glucose level (BGL) with prognosis in patients with basal ganglia cerebral hemorrhage (BGCH). In total, 186 patients with BGCH were included in this prospective study. The GHb level, fasting BGL, bleeding volume, degree of consciousness disorder, intracerebral hemorrhage (ICH) score, functional outcome in patients with primary ICH (FUNC) score, ICH grading scale (ICH-GS) score, and neurological impairment were recorded during a 30-day observation period. The mean BGCH volume was 58.42 mL. The 30-day mortality rate was 22.32%. The ICH-GS score [odds ratio (OR) = 0.815, 95% confidence interval (95% CI) = 0.504-0.688, R = 0.624] and bleeding volume (OR = 0.882, 95% CI = 0.785-0.918, R = 0.784) were significant predictors of 30-day mortality. The GHb level (OR = 6.138, R = 0.705) and BGL (OR = 1.055, R = 0.418) were independent predictors of 30-day mortality according to the multivariate logistic regression analysis. The GHb level and BGL are strong predictors of 30-day mortality in patients with BGCH and accurately predict the prognosis in these patients.

Stereotactic treatment of hypertensive intracerebral hemorrhage in basal ganglia region

Objective To evaluate the efficacy of stereotactic hematoma evacuation surgery for hypertensive cerebral hemorrhage in basal ganglia region. Methods A retrospective analysis was performed on 65 cases of hypertensive cerebral hemorrhage in the basal ganglia from August 2015 to March 2018 at the Stereotactic and Neurofunctional Center of the 306th Hospital of PLA. According to different surgical methods, those patients were divided into 2 groups. In the hematoma puncture group, 35 patients underwent hematoma puncture and drainage surgery; in the stereotaxis group, 30 patients underwent stereotactic puncture and catheter drainage surgery assisted by robot Remebot. The baseline conditions, bleeding time, volume of hematoma, preoperative GCS (Glasgow coma scale) score, Barthel score before discharge and at 3 months post operation, and the time of thorough hematoma drainage were compared between the 2 groups. Results (1) The time for thorough hematoma drainage in the stereotaxis group was significantly less than that in the hematoma puncture group. There was a significant difference between the 2 groups (Z=3.69, P<0.01). (2) Barthel scores before discharge (89.7±7.2) and at 3 months post operation (94.0±5.7) in stereotaxis group were significantly higher than those in hematoma puncture group (before discharge: 75.3±7.2, 3 months post operation: 76.4±8.2, both P<0.01). Conclusion Stereotactic hematoma evacuation surgery could significantly accelerate the removal time of hematoma in patients with hypertensive intracerebral hemorrhage, quickly relieve the compression of brain tissue by hematoma and promote the recovery of neurological function. Key words: Intracranial hemorrhage, hypertensive; Basal ganglia; Neurosurgical procedures; Stereotactic; Treatment outcome

Treatment of hypertensive basal ganglia cerebral hemorrhage with different surgical approaches

According to the locations of main hematomas, 60 patients with hypertensive basal ganglia hemorrhage were surgically treated through different approaches from June 2014 to September 2017. Thirty six cases with anterior hematoma near the Sylvian point were treated through transsylvian-transinsular approach, 24 cases with the posterior hematoma far from the Sylvian point were treated through translower-rolandic-point (transLRP) transinsular approach (n=11) or transsuperior-temporal-sulcus (transSTS) transinsular approach (n=13), respectively. All patients were followed up for at least 6 months and evaluated by Glasgow Outcome Scale. Fourteen patients showed good recovery, 25 patients showed moderate disability, 18 patients showed severe disability, one patients showed vegetative survival and two patients died. Key words: Intracerebral hemorrhage, hypertensive; Basal ganglia; Surgical approach

Effect of self-made transparent sheath-assisted forearm locking on neuroendoscopic hematoma removal on postoperative hematoma removal rate and ADL score in patients with basal cerebral hemorrhage

Objective To investigate the effect of self-made transparent sheath-assisted forearm-locking approach on endoscopic hematoma evacuation on postoperative hematoma evacuation rate and daily living activity (ADL)score in patients with basal ganglia hemorrhage (BGCH). Methods A retrospective study was performed on 104 cases of patients with BGCH who were admitted from October 2014 to January 2017.According to different surgery methods, patients were divided into the observation group and the control group, with 52 cases in each group.Patients in the control group were treated with traditional craniotomy and hematoma evacuation; the others in the observation group were treated with self-made transparent sheath-assisted forearm-locking approach, both groups were followed up for 3 months after operation.The hematoma clearance rate, 3 months postoperative prognosis, preoperative and postoperative 3 months ADL score and quality of life of the two groups were compared. Results The hematoma removal in the observation group was superior to that in the control group (P 0.05), the ADL score of the observation group 3 months after the operation was higher than that in the control group (P 0.05). Three months after surgery, physical role, emotional function, social function, vitality, general health status, mental health, body pain, physical function scores of two groups were higher than those before the surgery, and the score in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion BGCH self-made transparent sheath assisted forearm keyhole approach neuroendoscopic hematoma evacuation treatment, its hematoma clearance rate is high, which is conducive to improving the prognosis of patients and daily living activities. Key words: Basal ganglia cerebral hemorrhage; Forehead keyhole approach; Hematoma clearance; Self-made transparent sheath

Analysis of prognostic factors for hypertensive cerebral hemorrhage in patients with hypertensive intracerebral hemorrhage in basal ganglia region by surgical operation

Objective To analyze the related influence factors on the prognosis of hypertensive cerebral hemorrhage in basal ganglia with operation treatment, provide the basis for clinical prevention and treatment. Methods 80 patients for treatment of hypertensive cerebral hemorrhage were selected.By a retrospective study, we collected the clinical data and postoperative following-up data, status, complications, and observed the postoperative recovery. Statistical different hypertension, preoperative breaking into the ventricle, disturbance of consciousness, operation time and preoperative hematoma volume of the prognosis. Results In 80 patients,48 cases(60.00%)of patients has good prognosis; moderate disability, taking care of themselves life 10 cases(12.50%); severe disability, life can not take care of 9 cases(11.25%); plant survival of 5 cases(6.25%)and 8 cases of death(10.00%).22 cases of patients with brain hemorrhage again,3 cases postoperative pulmonary infection, 6 cases of secondary organ dysfunction.Poor prognosis of preoperative ventricle prognosis and disturbance of consciousness of patients was 88.26%(18/23)and 63.64%(21/33),which was higher than the preoperative without breaking into the ventricle and no disturbance of consciousness 24.54%(14/57)and 36.36%(21/33), the difference was statistically significant(χ2=10.38,9.76,P 60m L was 47.62% (20/42),which was higher than the preoperative hematoma volume 40-60m Lpatients31.38%(12/38),the difference was statistically significant(χ2=9.12,P<0.05). Conclusion It has obvious effect on surgery operation prognosis of patients with hypertensive cerebral hemorrhage, including optimal time for operation; bleeding time, intraventricular hemorrhage, disturbance of consciousness and bleeding volume.If the clinical treatment in the prevention and treatment to improve the survival and quality of life of patients with cerebral hemorrhage. Key words: Hypertension; Cerebral hemorrhage; Surgical operation; The prognosis; Influence factors

Clinical observation of hemocoagulase combined with aminomethylbenzoic acid in the treatment of basal ganglia hemorrhage

Patients with cerebral hemorrhage in basal ganglia were treated with hemocoagulase combined with aminomethylbenzoic acid from May 2010 to April 2013 in our hospital, and hematoma volume and neurological impairment were compared with the control group before and after treatment. This study confirmed that hemocoagulase combined with aninomethylbenzoic acid is a safe and effective method for cerebral hemorrhage in basal ganglia. It can effectively prevent the hematoma enlargement and improve neurological function and prognosis. doi: 10.3969/j.issn.1672-6731.2014.07.014

The clinical effect of sylvian-island leaves microscopic surgery for removing basal ganglia cerebral hemorrhage

目的 观察经侧裂-岛叶显微手术清除基底节区脑出血的治疗效果.方法 72例接受手术治疗的基底节区脑出血患者按数字表法随机分为观察组与对照组各36例,观察组采用经侧裂-岛叶显微手术清除基底节区脑出血,对照组采用经颞部皮层或脑沟入路显微手术清除脑内血肿.比较两组临床治疗效果.结果 观察组有效率86.11%,高于对照组的58.33%(χ2=10.13,P<0.05).结论 经侧裂-岛叶显微手术清除基底节区脑出血可有效清除血肿,损伤较小,同时可促进神经功能的恢复,值得临床推广。

Clinical characteristics of nonglaucomatous optic disc cupping

Pathological optic disc cupping (ODC) is predominantly referred to as glaucoma; however, it is not only glaucoma that leads to pathological optic disc excavation. A number of other nonglaucomatous diseases also result in optic atrophy and excavation of the optic disc. Therefore, in the present study, the etiology of nonglaucomatous optic disc cupping (NGODC) was analyzed and differentiated from glaucomatous optic disc cupping (GODC). The morphology and clinical data of 19 eyes, from 12 patients exhibiting NGODC, were analyzed. Of the 12 cases, none were diagnosed with glaucoma, four presented with optic neuritis, one with Devic’s disease, one with Leber’s hereditary optic neuropathy, two with pituitary adenoma, one with basal ganglia cerebral hemorrhage, one with cilioretinal artery occlusion associated with central retinal vein occlusion, one with central retinal artery occlusion and the remaining patient exhibited optic nerve injuries. The key features that differentiated NGODC from GODC were the color of the optic disc rim and the correlation between visual field defects and the disc appearance. The focally notched disc also aided in distinguishing between the two disorders. The results of the present study indicated that it is critical to acknowledge that nonglaucomatous diseases also lead to ODC and that distinguishing between them is necessary.

Endoscopic surgery combined with sacculus-assisted cerebrum corridor creator for hypertensive basal ganglia cerebral hemorrhage

Objective To evaluate the use of endoscopic surgery conbined with sacculus-assisted cerebrum corridor creator for hypertensive basal ganglia cerebral hemorrhage.Methods Twenty patients with hyertensive intracerebral hematoma were evacuated with neuroendoscope combined with sacculus-assisted cerebrum corridor creator.The hematoma evacuation rate,rebleeding rate,mortality rate and GOS score were recorded.Results Complete evacuation of hematoma was achieved in 10 patients,and partial evacuation in 10.The hematoma evacuation rate was 93％.The rebleeding rate is 0.The mortality rate was 5％.According to GOS score at 6-month follow-up,the result was V in 9 patients,Ⅳ-in 6,Ⅲ in 3,Ⅱ and Ⅰ in one respectively.Conclusion Neuroendoscopic surgery for hypertensive intracerebral hematoma is characterized by safety,mininvasion,visuality,good hemostasis,good hematoma evacuation,and is a new way in hypertensive cerebral hemorrhage. Key words: Hypertensive intracerebral hemorrhage; Neuroendoscope ; Sacculus ; Cerebrum corridor creator