摘要
Abstract
Objective:To analyze the therapeutic effect of using intraventricular drilling drainage combined with craniotomy hematoma removal surgery in the treatment of patients with hypertensive intracerebral hemorrhage and cerebral herniation.Method:64 patients with hypertensive intracerebral hemorrhage and cerebral herniation admitted to Qiannan Traditional Chinese Medicine Hospital from June 2021 to August 2023 were selected as the observation subjects for this study.They were randomly divided into two groups using a number table method.The observation group(32 cases)received intraventricular drilling drainage combined with craniotomy hematoma removal surgery,while the control group(32 cases)received conventional decompression treatment.The clinical efficacy of two groups of patients after treatment was compared.The inflammatory response neurotransmitter indicators before and after treatment,i.e.procalcitonin(PCT),C-reactive protein(CRP),and interleukin-6(IL-6),and the motor function assessment(FMA)score,the National Institutes of Health Stroke Scale(NIHSS)score,and the Barthel Index score for various scales of daily livingability were analyzed.Result:After treatment,it can be seen that the clinical efficacy of the observation group patients was higher than that of the control group patients.There was no statistically significant difference in inflammatory response neurotransmitter indicators,FMA scores,NIHSS scores,and Barthel index scores between two groups of patients before treatment intervention(P>0.05).After treatment,the inflammatory response neurotransmitter indicators,FMA score,NIHSS score,and Barthel index score of the observation group were better than those of the control group,with statistically significant difference(P<0.05).Conclusion:In the treatment of hypertensive intracerebral hemorrhage combined with cerebral herniation,the combination of intraventricular drilling drainage and craniotomy hematoma removal surgery can improve clinical efficacy,improve inflammatory response neurotransmitters.Compared to conventional treatment measures,it is more effective in reducing neurological damage.It can improve FMA score,and it contributes to the improvement of quality of life.关键词
开颅血肿清除术/脑室外钻孔引流/脑出血/高血压/脑疝Key words
Extracerebroventricular drilling drainage/Craniotomy hematoma removal surgery/Cerebral hemorrhage/Hypertension/Cerebral hernia
