Observation on the Curative Effect of Extraventricular Drainage Combined with Intracerebroventricular Fibrolysis in the Treatment of Hypertensive Intraventricular Hemorrhage
JIANG Feng-chun
Xuanhan County People's Hospital, Sichuan Xuanhan 636150
Abstract：【Objective】To observe the incidence of poor prognosis after hypertensive intraventricular hemorrhage.【Methods】The clinical data of 195 patients with hypertensive intraventricular hemorrhage treated in our hospital were analyzed retrospectively. According to the different treatment methods, they were divided into observation group (extraventricular drainage combined with intraventricular fibrinolysis,n=98) and control group (extraventricular drainage treatment group,n=97). The surgical conditions and the therapeutic effects of the two groups were compared,and the incidence of poor prognosis in patients with hypertensive intraventricular hemorrhage was observed.【Results】The incidence of poor prognosis in the observation group was lower than that in the control group (χ2=13.387,P<0.001). The ADL grade of 76 patients (77.55%) in the observation group was higher than that of 66 patients (68.04%) in the control group (χ2=-2.375,P=0.018 < 0.05). The hospitalization time, the extraction time of ventricular drainage and the amount of residual hematoma in the observation group were significantly shorter than those in the control group (P<0.05). The incidence of delayed hydrocephalus and intracranial infection in the observation group was significantly lower than that in the control group (χ2=3.327,P=0.072;χ2=0.423,P=0.515).【Conclusion】Extraventricular drainage combined with fibrinolysis can improve the daily living ability of patients with hypertensive intraventricular hemorrhage, shorten hospitalization time, and improve the prognosis of patients with important significance.
蒋逢春. 脑室外引流联合脑室内纤溶治疗高血压脑室内出血的疗效观察[J]. 医学临床研究, 2019, 36(7): 1335-1337.
JIANG Feng-chun. Observation on the Curative Effect of Extraventricular Drainage Combined with Intracerebroventricular Fibrolysis in the Treatment of Hypertensive Intraventricular Hemorrhage. JOURNAL OF CLINICAL RESEARCH, 2019, 36(7): 1335-1337.
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2019, Vol. 36 
