Therapeutic effect of stereotactic brain hematoma aspiration on hypertensive intracerebral hemorrhage in basal ganglia

Objective To investigate the clinical efficacy of conservative treatment and stereotactic hematoma aspiration (SHA) in basal ganglia (BJR) hypertensive intracerebral hemorrhage (HICH) (15-30 ml small and medium hematoma). Methods Sixty-six patients with hypertensive intracerebral hemorrhage were randomly divided into two groups according to the digital table method. 33 cases in the control group were treated with conventional conservative therapy, while 33 cases in the observation group were treated with stereotactic brain hematoma aspiration and conventional conservative therapy. The clinical efficacy of the two groups were compared. Results There was no dead case in the two groups. The complication rate was 9.09% (3/33) in the observation group, including 1 case of urinary tract infection, 1 case of pulmonary infection, 1 case of gastrointestinal bleeding; the complication rate was 23.24% (8/33) in the control group, including 2 cases of urinary tract infection, 4 cases of pulmonary infection, 2 cases of gastrointestinal bleeding; there was statistically significant difference in the complication rate between the two groups (χ2=2.7273, P 0.05). Conclusion Stereotactic intracerebral hematoma aspiration can shorten the time of hematoma absorption, reduce the hospitalization time, reduce the incidence of complications, promote the early recovery of neurological function, and improve the quality of life effectively. Key words: Hypertensive intracerebral hemorrhage; Basal ganglia; Stereotactic brain hematoma aspiration; Conservative treatment