Effect observation of two methods for hypertensive intracerebral hemorrhage

Objective To compare the effects of craniotomy and minimally invasive trepanation and drainage for hypertensive intracerebral hemorrhage(HICH). Methods 138 cases with HICH were randomly divided into craniotomy group and trepanation group, and they were treated with craniotomy and minimally invasive trepanation and drainage respectively. The postoperative complications, neurological conditions after 6 months, and activity of daily living(ADL) were compared between the two groups. Results The incidences of lung infection, rebleeding and death in craniotomy group were obviously higher than those in trepanation group, the difference was statistically significant(P 0.05); the NIHSS score in the two groups were both significantly decreased after 6 months, the difference was statistically significant(P 0.05), but there was no significance between the two groups(P 0.05); the ADL after 6 months tested by Kappa in the two groups was found had statistically significant difference(P 0.05); the time of ICU stay, hospital stay, and costs in the two groups had statistical difference(P 0.05).Conclusion Minimally invasive trepanation and drainage can decrease the postoperative complications, improve the activity of daily living and reduce the costs in the treatment for HICH.