Comparative Study on the Clinical Efficacy of Ultra-early and Early Surgical Treatment for Hypertensive Intracerebral Hemorrhage in Basal Nuclei Zone

Objective: To investigate the optimal operation timing of hypertensive intracerebral hemorrhage in basal nuclei zone through comparative study on the clinical efficacy of ultra-early surgical treatment and early surgical treatment.Methods: The data of 120 cases of hypertensive intracerebral hemorrhage in basal nuclei zone,be treated with small bone window craniotomy microsurgery,were retrospectively analysed.60 patients who underwent surgery within bleeding 7 hours were assigned to ultra-early surgery group,60 patients who underwent surgery after bleeding 7～24 were assigned to early surgery group.The postoperative complications,death,clinical efficacy after six months(assess by activities of daily living) of the two groups were compared,and the data were dealed with statistical methods.Results: The recent lung infection,gastrointestinal bleeding and acute renal failure in ultra-early surgery group were significantly less than the early surgery group(P0.05),but the re-bleeding and mortality didn’t have significant difference(P0.05).For clinical efficacy after 6 month opertation,the total efficacy of the ultra-early surgery group was significantly better than the early surgery group(P0.05).Conclusion: Ultra-early performing small bone window craniotomy microsurgery for hypertensive intracerebral hemorrhage in basal nuclei zone is better than early surgery in reducing postoperative complications and effectively improving