Influence of soft channel brain hematoma catheter drainage in neural functions and depression status in patients with hypertensive intracerebral hemorrhage

Objective To explore the effect of soft channel minimally invasive puncture drainage and routine craniotomy on neurological functions and depression status in patients with hypertensive intracerebral hemorrhage. Methods Thirty- eight patients with hypertensive intracerebral hemorrhage, underwent soft channel minimally invasive puncture in our hospital from January 2012 to December 2014, were selected as study group, and 31 hypertensive intracerebral hemorrhage patients underwent routine craniotomy as control group. The differences of nerve functions and depression status between two groups were compared. Results The NIHSS scores 30 and 90 d after operation in two groups were significantly lower than those before operation, and the NIHSS scores 30 and 90 d after operation in the study group were significantly lower than those in the control group at the same time (P<0.05). The Barthel index 30 and 90 d after operation was significantly higher than that before operation, and the Barthel index of the study group was significantly higher than that in the control group 90 d after operation (P<0.05). The incidence rate of depression in the study group (5.26%) was significantly lower than that in the control group (38.71%, P<0.05). The NIHSS scores (15.71±3.61, 12.57±2.83) in the depressed group 30 and 90 d after operation were higher than those in the non depressed group (12.70±2.53, 8.18±3.48), with statistically significant differences (P<0.05). Conclusion In the postoperative recovery of neurological function and ability of daily living, the softchannel minimally invasive puncture and drainage surgery has a significant advantage over conventional craniotomy with lower incidence of postoperative depression. Key words: Hypertensive intracerebral hemorrhage; Minimally invasive puncture and drainage; Neurological function; Depression