Nerve function recovery mechanism of minimally invasive drainage of the hematoma in patients with hypertensive cerebral hemorrhage
Wei Chen
Abstract
Wei Chen
Abstract
Objective To investigate the nerve function recovery mechanism of minimally invasive drainage of the hematoma in patients with hypertensive intracerebral hemorrhage.Methods All 40 patients with hypertensive cerebral hemorrhage were randomly divided in accordance with conventional treatment group and the minimally invasive hematoma drainage group,20 patients in each group respectively.After treatment 21 days,used the Scandinavian Stroke Scale Score(scandinavian stroke scale,SSS) score and after treatment 90 days used the modified Rankin Scale(Modified Rankin scale,MRS)score and Barthel Index(barthel iondex,BI) score,Activities of Daily Living(ADL) score to compare two sets of recovery of neurological function.Results The first 21 days after the SSS score than the control group increased more significantly(P 0.05).Observation group after 90 days of MRS score decreased more significantly than the control group(P 0.05).Observation group after 90 days of BI score than the control group increased more significantly(P 0.05).Patients were followed up for 6 months,20 patients were observed after 1 died,survived 19 cases,ADL1 level percentage of 52.63% of patients,significantly higher(35.71%),the difference was statistically significance.Conclusion Minimally invasive surgery to help drain the hematoma in patients with hypertensive cerebral hemorrhage recovery of neurological function and improve the ability of daily living,is effective treatment methods for imporing quality of life and the prognosis,should be promoted and applied.
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Objective To investigate the nerve function recovery mechanism of minimally invasive drainage of the hematoma in patients with hypertensive intracerebral hemorrhage.Methods All 40 patients with hypertensive cerebral hemorrhage were randomly divided in accordance with conventional treatment group and the minimally invasive hematoma drainage group,20 patients in each group respectively.After treatment 21 days,used the Scandinavian Stroke Scale Score(scandinavian stroke scale,SSS) score and after treatment 90 days used the modified Rankin Scale(Modified Rankin scale,MRS)score and Barthel Index(barthel iondex,BI) score,Activities of Daily Living(ADL) score to compare two sets of recovery of neurological function.Results The first 21 days after the SSS score than the control group increased more significantly(P 0.05).Observation group after 90 days of MRS score decreased more significantly than the control group(P 0.05).Observation group after 90 days of BI score than the control group increased more significantly(P 0.05).Patients were followed up for 6 months,20 patients were observed after 1 died,survived 19 cases,ADL1 level percentage of 52.63% of patients,significantly higher(35.71%),the difference was statistically significance.Conclusion Minimally invasive surgery to help drain the hematoma in patients with hypertensive cerebral hemorrhage recovery of neurological function and improve the ability of daily living,is effective treatment methods for imporing quality of life and the prognosis,should be promoted and applied.
Key concepts: Medicine, SSS*, Modified Rankin Scale, Barthel index, Hematoma, Intracerebral hemorrhage, Surgery, Anesthesia