Application of medical suction device with light source and expansion sleeve to patients with hypertensive intracerebral hemorrhage

WANG Haiyan; ZUO Yi; CHEN Shangjun; QIAN Chao; CHENG Guang; CHEN Zeyao

Abstract：Objective To explore the effectiveness of a medical suction device with a light source and an expansion sleeve on cytokines in cerebrospinal fluid of patients with cerebral hemorrhage during surgery.Methods A total of 107 patients with basal ganglia hypertensive intracerebral hemorrhage with surgical indications were selected from the neurosurgery department of Shaanxi Nuclear Industry 215 Hospital from January 2019 to January 2024.The patients were randomly divided into a treatment group and a control group.Both groups underwent routine bone flap decompression and hematoma removal surgery.A medical suction device with a light source and a specialized expansion sleeve was used on the treatment group patients to remove the hematoma in the lumen,whereas for the control group patients,a pressure plate was used to pull open the brain tissue and the hematoma was cleared under shadowless lighting.The hematoma clearance rate,surgical time,hospital stay,GOS score,cerebrospinal fluid IL-1 β,TNF-α levels,and patient activities of daily living(ADL)scores were observed and compared between the two groups.Results Although the hematoma clearance rate of the treatment group was almost the same as that of the control group,the former one had used less than 43.88 minutes of the surgical time and less than 13.26 days of the hospital stay.The levels of IL-1 β and TNF-α in the cerebrospinal fluid of the former were significantly lower than those of the latter,and the patient's ADL score was higher than that of the latter,with statistical significance(P<0.05).Conclusion The medical suction device with a light source and an expansion sleeve can clear hematomas under good illumination,reduce brain tissue traction,prevent iatrogenic injury,reduce the levels of IL-1 β and TNF-α factors in the cerebrospinal fluid of patients,reduce the occurrence of secondary nerve damage during and after surgery,and improve patient prognosis.