Comparison of clinical efficacy between hard channel puncture and drainage and conservative treatment of small and medium hypertensive cerebral hemorrhage in basal ganglia on high altitude areas
SHI Pengcheng, LI Jirong, ZHAO Yuan, SU Yinyan, HAN Xue
Department of Characteristics of Professional, Qinghai Provincial Corps Hospital of Chinese People's Armed Police Force, Xining 810000, China
Abstract:Objective To explore the clinical efficacy of hard channel puncture and drainage and conservative treatment of small and medium hypertensive cerebral hemorrhage in basal ganglia on high altitude areas. Methods Eighty patients of hypertensive cerebral hemorrhage (20-40 ml) in basal ganglia admitted to our hospital from January 2015 to December 2020 were randomly divided into two groups: the observation group (hard channel puncture drainage) and the control group (internal conservative treatment). The sequelae of language impairment, limb dysfunction, NIHSS score, and Barthel Index (BI) score were analyzed and compared respectively. Results After 3 weeks of therapy, the incidence of language impairment of the observation and control group were 2.5% and 25.0%, the incidence of limb dysfunction of both groups were 5.0% and 27.5%, respectively, and the differences were statistically significant (P<0.01). The NIHSS of the observation group (12.08±4.28) was significantly lower than that of the control group (16.50±6.60) after 3 weeks therapy (P<0.01), and the Barthel Index of the observation group (29.33±8.46) was better than that of the control group (20.48±6.47, P<0.01). Conclusions The treatment of hard channel puncture and drainage is better than the conservative treatment of hypertensive cerebral hemorrhage in basal ganglia on high altitude areas.
石鹏程, 李积荣, 赵媛, 苏银燕, 韩雪. 高海拔地区硬通道穿刺引流与非手术治疗基底节区中小量高血压性脑出血疗效比较[J]. 武警医学, 2022, 33(10): 866-868.
SHI Pengcheng, LI Jirong, ZHAO Yuan, SU Yinyan, HAN Xue. Comparison of clinical efficacy between hard channel puncture and drainage and conservative treatment of small and medium hypertensive cerebral hemorrhage in basal ganglia on high altitude areas. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(10): 866-868.
Hostettler I C, Seiffge D J, Werring D J. Intracerebral hemorrhage: an update on diagnosis and treatment [J]. Expert Rev Neurother, 2019, 19(7): 679-694.
[2]
Robles L A, Volovici V. Hypertensive primary intraventricular hemorrhage: a systematic review [J]. Neurosurg Rev, 2022, 45(3): 2013-2026.
Oliveira Manoel A L. Surgery for spontaneous intracerebral hemorrhage [J]. Crit Care, 2020, 24(1): 45.
[5]
Xu S Y, Pang Q Y, Lin Z X, et al. Effect of integrated traditional Chinese and western medicine therapy for acute hypertensive intracerebral hemorrhage: a meta-analysis [J]. Artif Cells Nanomed Biotechnol, 2017, 45(6): 1-6.
[6]
Hawkes M A, Rabinstein A A. Acute hypertensive response in patients with acute intracerebral hemorrhage: a narrative review [J]. Neurology, 2021, 97(7): 316-329.
Murthy S B, Moradiya Y, Dawson J, et al. Perihematomal edema and functional outcomes in intracerebral hemorrhage: influence of hematoma volume and location [J]. Stroke, 2015, 46(11): 3088-3092.
Han M, Ding S, Zhang Y, et al. Serum copper homeostasis in hypertensive intracerebral hemorrhage and its clinical significance [J]. Biol Trace Elem Res, 2018, 185(1): 56-62.