文献类型：期刊文献

英文题名：Assessment of the effect of short-term factors on surgical treatments for hypertensive intracerebral haemorrhage

作者：Zhao, Ziyu[1,2];Wang, Hongying[3];Li, Zhong[1,2];Wang, Xiaoxi[1,2];Zhang, Wei[2,3];Feng, Kang[1,2];Fan, Jingchun[4]

第一作者：赵忠扬;Zhao, Ziyu

通信作者：Fan, JC[1]

机构：[1]Tianshui First Peoples Hosp, Dept Neurosurg, 105 Construct Rd, Tianshui City 741000, Gansu, Peoples R China;[2]Gansu Univ Chinese Med, Dept Neurosurg, Tianshui Hosp, 105 Construct Rd, Tianshui City 741000, Gansu, Peoples R China;[3]Tianshui First Peoples Hosp, Dept Resp, 105 Construct Rd, Tianshui City 741000, Gansu, Peoples R China;[4]Gansu Univ Chinese Med, Sch Publ Hlth, 35 Dingxi Dong Rd, Lanzhou 730000, Gansu, Peoples R China

第一机构：Tianshui First Peoples Hosp, Dept Neurosurg, 105 Construct Rd, Tianshui City 741000, Gansu, Peoples R China

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Sch Publ Hlth, 35 Dingxi Dong Rd, Lanzhou 730000, Gansu, Peoples R China.|[10735e9d5e7087247e71b]甘肃中医药大学公共卫生学院;[10735]甘肃中医药大学;

年份：2016

卷号：150

起止页码：67

外文期刊名：CLINICAL NEUROLOGY AND NEUROSURGERY

收录：;Scopus(收录号：2-s2.0-84985030728);WOS:【SCI-EXPANDED(收录号:WOS:000386642300012)】；

语种：英文

外文关键词：HICH; Surgical treatments; Short-term effect; Impact factors

摘要：Background: Hypertension is the most common cause of intracerebral haemorrhages (ICHs), yet the short-term impact factors associated with hypertensive intracerebral haemorrhages (HICHs) in patients who undergo different surgical treatments are still unknown. Materials and methods: All consecutive patients with acute HICHs admitted to our hospital from January 2012 to March 2015 were enrolled in the study. Patients were either randomly divided or assigned according to their family's preference into three groups (those undergoing minimally invasive aspiration, keyhole craniotomy or haematoma aspiration with extended pterional and decompressive craniotomy). Patients' information and clinical characteristics were collected to identify risk factors influencing the short-term effects of the procedures. Results: There were significant differences among the groups: haematoma aspiration with extended pterional and decompressive craniotomy was the optimal method, resulting in fewer complications, higher Glasgow Outcome Scale (GOS) scores and better short-term outcomes. Surgical treatment, Glasgow Coma Scale (GCS) scores, haemorrhage volume and degree of midline shift were risk factors for the short-term effects associated with HICH. Conclusions: Haematoma aspiration with extended pterional and decompressive craniotomy is suitable for treating HICH patients. Surgical treatment, GCS score, haemorrhage volume and degree of midline shift influence the short-term effects observed following HICH surgery. (C) 2016 Elsevier B.V. All rights reserved.