Center for Neurological Diseases, The Third Affiliated Hospital of Chongqing Medical University, Chongqing 401120, China.
Medicine (Baltimore). 2021 Jan 22;100(3):e24213. doi: 10.1097/MD.0000000000024213.
Hypertensive intracerebral hemorrhage (HICH) is the most serious complication of hypertension. Clearing intracranial hematoma as soon as possible, reducing brain cell edema, and controlling intracranial pressure could effectively reduce neuron damage, lower patient mortality, and improve patient prognosis. At present, minimally invasive surgery (MIS) has been widely used and plays an important role in the treatment of HICH. However, it is still in controversies about the choice of surgical treatment and medication treatment for HICH. Therefore, we try to conduct a randomized, controlled, prospective trial to observe the efficacy of MIS treatment against HICH compared with medication treatment.
Patients will be randomly divided into treatment group and control group in a 1:1 ratio using the random number generator in Microsoft Excel. Stereotactic soft channel minimally invasive intracranial hematoma puncture and drainage treatment and medication treatment will be applied respectively. The outcomes of intracerebral hemorrhage volume, Glasgow coma scale, National Institutes of Health Stroke Scale will be recorded.
The findings of the study will be helpful for the choice of MIS and conservative treatment when treating HICH patients.
OSF Registration number: DOI 10.17605/OSF.IO/ME6Y5.
高血压性脑出血(HICH)是高血压最严重的并发症之一。尽快清除颅内血肿,减轻脑细胞水肿,控制颅内压,可有效减少神经元损伤,降低患者死亡率,改善患者预后。目前,微创外科(MIS)已广泛应用,在 HICH 的治疗中发挥着重要作用。然而,对于 HICH 的手术治疗和药物治疗的选择仍存在争议。因此,我们试图进行一项随机、对照、前瞻性试验,观察 MIS 治疗与药物治疗对 HICH 的疗效。
采用 Microsoft Excel 中的随机数发生器将患者以 1:1 的比例随机分为治疗组和对照组。分别采用立体定向软通道微创颅内血肿穿刺引流治疗和药物治疗。记录颅内血肿量、格拉斯哥昏迷评分、国立卫生研究院卒中量表的结果。
本研究的结果将有助于 HICH 患者在选择 MIS 和保守治疗时做出决策。
OSF 注册号:DOI 10.17605/OSF.IO/ME6Y5。