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目的探讨改良式腰椎蛛网膜下腔持续引流术治疗蛛网膜下腔出血的疗效。方法将蛛网膜下腔出血患者65例根据治疗方法的不同分为实验组32例和对照组33例,实验组行改良式腰椎蛛网膜下腔持续引流术并鞘内注药治疗,对照组行传统间断腰椎穿刺术并鞘内注药治疗,并对其疗效进行分析。结果实验组优良率68.75%,对照组39.39%,实验组明显高于对照组,实验组与对照组比较差异有统计学意义(P<0.05),而病死率实验组12.05%,对照组27.27%,实验组低于对照组,但实验组与对照组比较差异没有统计学意义(P>0.05)。治疗组颅内压控制平稳,脑膜刺激减轻,减少了并发症和后遗症,效果较好,治疗组明显优于对照组(P<0.05)。结论改良式腰椎蛛网膜下腔持续引流术治疗蛛网膜下腔出血疗效令人满意。
Objective To investigate the effect of modified lumbar subarachnoid continuous drainage on patients with subarachnoid hemorrhage. Methods Sixty-five patients with subarachnoid hemorrhage were divided into experimental group (32 cases) and control group (33 cases) according to the different treatment methods. The experimental group received modified lumbar subarachnoid continuous drainage and intrathecal injection. The control group Traditional intermittent lumbar puncture and intrathecal injection treatment, and its efficacy analysis. Results The excellent and good rate was 68.75% in the experimental group and 39.39% in the control group, which was significantly higher in the experimental group than in the control group (P <0.05), while the mortality was 12.05% in the experimental group and 27.27% in the control group , The experimental group was lower than the control group, but there was no significant difference between the experimental group and the control group (P> 0.05). The intracranial pressure in the treatment group was controlled smoothly, the meningeal stimulation was relieved, the complications and sequelae were reduced, and the effect was better in the treatment group than in the control group (P <0.05). Conclusion Modified lumbar subarachnoid continuous drainage for the treatment of subarachnoid hemorrhage is satisfactory.