Comparison study of intracranial pressure of traditional craniotomy and puncture drainage for patients with mid-life hypertensive intracerebral hemorrhage
YANG Shu-mao
SONG Shao-jun
HAN An-guo
YAO Ying-bo
BIAN Tao
Abstract：Objective To compare the difference of intracranial pressure (ICP) between two surgical procedures, traditional craniotomy and puncture drainage in patients with mid-life hypertensive intracerebral hemorrhage. Methods One hundred and twelve cases with mid-life hypertensive intracerebral hemorrhage were randomly divided into two groups. In one group (60 cases) the patients had traditional craniotomy and another group (52 cases) had puncture drainage. ICP was monitored by placing catheter in lateral ventricle on the contralateral side of the hemorrhage. ICP values were collected after operation, 24 h, 72 h and 1 week later. Results Although all the patients showed increased ICP, patients in traditional craniotomy group had lower ICP values than patient in puncture drainage group[after operation, 24 h, 72 h and 1 week was(2.03 ± 1.29)mm Hg vs (4.57 ± 1.36)mm Hg,(3.12 ±1.32)mm Hgvs (4.98 ± 1.49)mm Hg,(3.81 ± 1.57)mm Hg vs (5.26 ± 1.84)mm Hg,(2.78 ±1.65)mm Hg vs (3.79 ±1.90)mm Hg, respectively](P＜0.01). Conclusion Traditional craniotomy has advantages over puncture drainage for patients with mid-life hypertensive intracerebral hemorrhage with respect to decreasing ICP.
Keywords：Hypertensive intracerebral hemorrhageTraditional craniotomyPuncture drainageMid-lifeIntracranial pressure
Publication Date：2011-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)