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| Relationship Hypertensive Intracerebral Hemorrhage Patients with Surgical Timing and Manner of Efficacy |
| Wanjiang Regionalism of Dongguan People’s Hospital， Dongguan 523000， China |
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Abstract Objective： To observe the relationship between hypertensive intracerebral hemorrhage timing and manner of operation and efficacy. Method： 150 patients with hypertensive intracerebral hemorrhage in our hospital from June 2011 to June 2013 were selected， according to the patients with different time from onset to surgery were divided into A， B， C three groups， A group contained 50 patients ， bleeding less than 7 h， 40 patients in group B， bleeding time between 7-24 h， 50 patients in group C， bleeding time greater than 24h. Depending on the amount of bleeding in patients with a bleeding site and choose craniotomy， burr hole surgery and small bone window craniotomy and other surgical procedures， observe and compare the efficacy and prognosis of patients. Result： Group A total effective rate was 92.00%（ 46/50） was significantly higher than 75.00%（ 30/40） in group B and 50.00%（ 25/50） in group C（ P<0.05）；and group B was significantly higher than group C（ P<0.05）； A group improvement rate was 88.00%（ 44/50）， which was significantly higher than 70.00%（ 28/40） in group B and 36%（ 18/50） in group C（ P<0.05）； improvement rate of group B was significantly higher than group C（ P<0.05）； A group mortality was 2.00%（ 1/50 ）， which was significantly lower than 7.50%（ 3/40） in group B and 16%（ 8/50） in group C（ P<0.05）； mortality in group B was significantly lower than in group C（ P<0.05）. Conclusion： The timing of surgery and the surgical approach has an important impact on the treatment and prognosis of patients with hypertensive intracerebral hemorrhage.
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