ObjectiveTo explore the clinical efficacy of minimally invasive intracerebral hematoma puncture drainage combined with intracranial pressure (ICP) monitoring for treating senile hypertensive cerebral hemorrhage in basal ganglia. MethodsThe clinical data of 63 senile patients with hypertensive cerebral hemorrhage in basal ganglia were retrospectively analyzed, and they were assigned to minimally invasive intracerebral hematoma puncture drainage group (group A, n=30), and minimally invasive intracerebral hematoma puncture drainage combined with ICP monitoring group (group B, n=33). The intraoperative hematoma aspiration volume, the states of aspiration volume proportions, the average amount of mannitol 7 days after operation, the Glasgow Coma Scale (GCS) scores at different time points, and the incidence of complications and the states of prognosis were compared and analyzed between the two groups. ResultsCompared with group A, patients in group B obtained significantly larger hematoma aspiration volume, prominently higher proportion of aspiration volume, whereas significantly less average amount of mannitol 7 days after operation, and more improved GCS scores 3, 7, and 14 days after operation (all P＜0.05). There were no statistically significant differences of the incidence in postoperative rehemorrhage, hydrocephalus, epilepsy, electrolyte disturbance, intracranial infection, and stress ulcer between the two groups (all P＞0.05). The state of prognosis of group B was superior to group A (P＜0.05). ConclusionMinimally invasive intracerebral hematoma puncture drainage combined with ICP monitoring can prominently increase intraoperative hematoma aspiration volume, reduce the mass effect and the postoperative average amount of mannitol, and significantly improve disturbance of consciousness and prognosis, which is worthy of promotion and application in senile patients with hypertensive cerebral hemorrhage in basal ganglia.

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