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目的 观察腰穿置管引流治疗蛛网膜下腔出血 (SAH)的临床疗效和安全性。方法 72例SAH患者随机分为实验组 36例 ,对照组 36例。实验组采用腰穿置管引流治疗 ,对照组采用药物保守治疗 ,比较2组患者头痛程度与持续时间、脑膜刺激征持续时间、血管痉挛指数和并发症的发生率。结果 实验组头痛程度和持续时间及脑膜刺激征持续时间明显低于对照组 ,实验组迟发性脑血管痉挛和交通性脑积水发生率明显低于对照组。结论 腰穿置管引流是治疗SAH的一种安全而有效的手段
Objective To observe the clinical efficacy and safety of lumbar catheter drainage for the treatment of subarachnoid hemorrhage (SAH). Methods A total of 72 SAH patients were randomly divided into experimental group (36 cases) and control group (36 cases). The experimental group was treated with lumbar puncture catheter drainage, the control group was treated with conservative drugs. The degree and duration of headache, the duration of meningeal irritation, the vasospasm index and the complication rate were compared between the two groups. Results The duration of headache and duration of meningeal irritation and the duration of meningeal irritation in the experimental group were significantly lower than those in the control group. The incidence of delayed cerebral vasospasm and traffic hydrocephalus in the experimental group was significantly lower than that in the control group. Conclusion Lumbar catheter drainage is a safe and effective method for the treatment of SAH