Clinical observation of treatment of hypertensive cerebral hemorrhage with minimally invasive surgery combined with mild hypothermia therapy
ZHANG Wei-hua
HAN Zeng-can
ZHANG Yu-qing
Abstract：Objective To explore the clinical effect of minimally invasive surgery combined with mild hypothermia in treatment of hypertensive cerebral hemorrhage. Methods One hundred and twenty-eight cases with hypertensive cerebral hemorrhage were divided into three groups randomly: standard therapy group with medical conservative treatment; minimally invasive surgery group with cleaning intracranial hemorrhage at the time of medical therapy; combined therapy group with medical therapy and cleaning intracranial hemorrhage at the time of mild hypothermia therapy. Three groups with the National institute of Health Stroke scale (NIHSS) score was compared. The clinical therapeutic effects and Barthel index which was accessed in both groups before treatment and ninety days later. Results The total clinical NIHSS was lower than minimally invasive surgery group,the NIHSS in minimally invasive surgery group was lower than the medical therapy group ( P ＜ 0.05 ); after 90 days, the barthel index ( 56.36 ±36.16) in the minimally invasive surgery group was higher than the barthel index (40. 56 ±21.22) in the medical therapy group. The barthel index(78.66 ±51.92) in the combined therapy group was higher than that in the minimally invasive surgery group (P ＜ 0.05 ). Conclusion Combined therapy of minimally invasive surgery and mild hypothermia can significant reduce morbidity and disability rates and improve renew nerval function.
Keywords：Intracranial hemorrhage hypertensiveHypothermiaSurgery proceduresminimally invasive
Publication Date：2010-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)