Comparison of Clinical Effects Between Stereotactic Intracranial Hematoma Puncture Drainage and Intracranial Hematoma Hard Channel Puncture Drainage Treatment for Moderate Amounts Hypertensive Intracerebral Hemorrhage
ZHANG Chaochao
XU Jianpeng
Abstract：Objective To compare the clinical effects of stereotactic intracranial hematoma puncture drainage and intracranial hematoma hard channel puncture drainage in patients with moderate amounts hypertensive intracerebral hemorrhage(HICH).Methods A total of 86 patients with moderate amounts HICH from July 2022 to June 2023 who were admitted in Zhumadian Traditional Chinese Medicine Hospital were selected.They were divided into the stereotactic group(45 cases,stereotactic intracranial hematoma puncture and drainage surgery)and the hard channel group(41 cases,intracranial hematoma hard channel puncture and drainage surgery)by surgical methods.The perioperative indicators,nerve factors,nerve function,complications in both groups were compared.Results In comparison of the hard channel group,the surgery time,hematoma drainage time,and hospital stay in the stereotactic group were shorter(P＜0.05),and the hematoma clearance rate was higher(P＜0.05).The glial fibrillary acidic protein(GFAP)and S100β protein(S100β)levels in both groups were increased 3 days after surgery(P＜0.05),but in comparison of the hard channel group,the stereotactic group was lower(P＜0.05).The National Institutes of Health stroke scale(NIHSS)scores in both groups were decreased 3 months after surgery(P＜0.05),and in comparison of the hard channel group,the stereotactic group was lower(P＜0.05).In the incidence of complications,in comparison of the hard channel group 21.95％(9/45),the stereotactic group 4.44％(2/45)was lower(P＜0.05).Conclusion Compared to hard channel puncture and drainage for intracranial hematoma,stereotactic intracranial hematoma puncture and drainage can significantly improve perioperative indicators in patients with moderate amounts HICH,effectively control nerve damage,improve neurological function and daily living ability,and reduce the incidence of complications.
Keywords：moderate amounts hypertensive intracerebral hemorrhagestereotactic intracranial hematoma puncture and drainage surgeryintracranial hematoma hard channel puncture and drainage surgeryneurofactorsneurological function
Publication Date：2025-08-13
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：4( 2767-2770 )