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《Chinese Journal of Nervous and Mental Diseases》 2007-01
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Analysis on the prognoses of various therapeutic approaches for patients with hypertensive ganglionic hemorrhage

YANG Qianjin,ZHANG Renbo,HU Shufang,FU Yaogao.Department of Neurology,Jiangmen People's Hospital,172 Peng Lai Road,Jiangmen.529020.  
Objective To explore the optimal therapeutic approaches for patients with hypertensive ganglionic hemorrhage via the prognoses of various treatment groups.Methods Of the inpatients with hypertensive ganglionic hemorrhage,119 cases were enrolled into our studies and were divided into three groups corresponding to their managements.For each case,general data,radiological and laboratory results were documented according to their case histories,and clinical global outcome were rated in light of the Scandinavia Stroke Scale.The relationship of the prognoses of inpatients with various levels of hemotoma volume and GCS score to three kinds of therapeutic approaches were analyzed with SPSS 10.0 software.Results Multiple linear regression analysis showed hemotoma volume,GCS score and conservative treatment were independent significant factors of their prognoses.There is no statistically significant difference in the prognoses among the three treatment groups with hematomas of 25.0~39.9 mL.The prognoses of aspiration and craniotomy groups was superior to that of the conservative one with the hematomas of 40.0~90.0 mL.For the hematomas of 25.0~90.0 mL and GCS score≥8 points,the prognoses of aspiration group was superior to that of the conservative one,but there is no significant difference between the craniotomy and conservative groups.For the hematomas of 25.0~90.0 mL and GCS score≤7 points,the prognoses of the craniotomy group was superior to that of the conservative one,but there was no significant difference between the aspiration and conservative groups.Conclusions The patients with hypertensive intracerebral ganglionic hematomas of 40.0~90.0 mL is suitable to the mini-invasive aspiration for GCS score ≥8 points and is adaptive to craniotomy for GCS score ≤7 points.
【CateGory Index】: R651.12
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