Postoperative combined modality therapy for patients with basal ganglia hemorrhage
TANG Ke
LIU Fang
ZHOU Jing-an
ZHOU Qing
Abstract：Objective To analyze the therapeutic influencing factors of postoperative combined modality treatment for patients with basal ganglia hemorrhage.Methods The clinical characteristics of patients undergoing minimally invasive evacuation and catheter-based drainage with basal ganglia hemorrhage were analyzed retrospectively.Age,gender,diabetes,hyperlipidemia,clot position,volume,interval between symptom onset and operation,clot residual,drainage duration were analyzed.Therapeutic effect at 3 months after surgery was evaluated by activities of daily living (ADL)grade,and then,chi-square test and non-condition logistic regression analysis were used to define the relationship between the effect and factors.Results ADL grade at 3 months after surgery demonstrated that there were 9(3.6％ ),65(26.1％ ),93(37.3％ ),36(14.5％ ),and 46(18.5％ )cases with grade Ⅰ,Ⅱ,Ⅲ,Ⅳ,and Ⅴ respectively.Factors including age,diabetes,clot volume,clot residual and drainage duration were significantly related to therapeutic effect by Pearson chi-square test (P＜0.05 ).Factors including gender,hyperlipidemia,clot position,interval between symptom onset and operation did not show statistically significant difference(P ＞0.05 ).Diabetes (OR =8.097,95％ CI 2.909 - 22.541,P ＜0.01 ),clot volume (OR =14.756,95％ CI 3.986 - 54.623,P＜0.01 ),and drainage duration (OR =7.229,95％ CI 1.196 - 43.679,P ＜0.05 )had statistical significance by the non-condition logistic regression analysis.Conclusions Rehabilitation of nervous function is achieved by combined treatment including minimally invasive evacuation, medicine and hyperbaric oxygen therapy for basal ganglia hypertensive hemorrhage. Colt volume plays a predominant role influencing therapeutic effects. Attention should be paid to control hyperglycemia and drainage clot to fulfill the purpose of improving postoperative combined therapeutic effect.
Keywords：Intracranial hemorrhagehypertensiveNeurosurgical proceduresTreatment outcomeSurgical proceduresminimally invasiveCombined modality therapy
Publication Date：2012-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)