Comparison of Craniotomy Hematoma Clearance and Bore Drainage in the Treatment of Hypertensive Cerebral Hemorrhage and Their Effects on Neurological Function and Short-term Prognosis

doi:10.3969/j.issn.1004-5775.2025.08.017

Abstract：Objective: To compare the clinical effects of craniotomy hematoma clearance and bore drainage in patients with hypertensive cerebral hemorrhage, and their impact on neurological function and short-term prognosis. Methods: A total of 97 patients with hypertensive cerebral hemorrhage admitted to the People's Hospital of Jiyuan City, Henan Province from April 2021 to October 2023 were selected as the study subjects and randomly divided into a control group (craniotomy hematoma clearance, 52 cases) and an observation group (bore drainage, 45 cases). The control group received craniotomy hematoma clearance, while the observation group underwent bore drainage. Both groups were observed for 14 days postoperatively and followed up for 3 months. Clinical indicators, neurological function, hematoma clearance rate, and prognosis were compared between the two groups. Results: The ICU hospitalization time, drainage tube placement time, and time to regain consciousness in the observation group were shorter than those in the control group, with statistically significant differences (t=13.742, 10.345, 7.703, P<0.05). Three months after surgery, the scores of the Edinburgh-Scandinavian Scale (MESSS) and the Rankin Scale (MRS) in both groups decreased, with the observation group showing lower scores, while the Activities of Daily Living Scale (ADL) score increased, with the observation group showing higher scores, and the differences were statistically significant (t=7.198, 3.958, 6.517, P<0.05). The total hematoma clearance rate in the control group was higher than that in the observation group, but the difference was not statistically significant (x2=0.052, P>0.05). Three months after surgery, the prognosis of the observation group according to the Glasgow Outcome Scale (GOS) was better than that of the control group, with a statistically significant difference (x2=6.158, P<0.05). Conclusion: In patients with hypertensive cerebral hemorrhage, bore drainage shows superior therapeutic effects compared to craniotomy hematoma clearance, with better recovery of neurological function and more favorable prognosis, which has a positive impact on improving the patient's ability to live independently.