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目的探讨早期腰大池持续引流治疗外伤性蛛网膜下腔出血患者的临床效果,为临床治疗外伤性蛛网膜下腔出血提供参考。方法选取2012年4月至2013年10月广东省阳春市中医院收治的外伤性蛛网膜下腔出血患者82例为研究对象,按随机数字表法分为对照组和观察组,每组41例。对照组41例患者行反复腰椎穿刺释放脑脊液,观察组41例患者早期行腰大池持续引流脑脊液,治疗1周后,比较两组患者临床疗效及并发症发生情况。结果治疗后1周,观察组患者头痛及恶心呕吐消失、颅内压恢复正常、脑脊液转清的比率明显高于对照组,差异有统计学意义(P<0.05);对照组患者并发症发生率明显高于观察组,差异有统计学意义(P<0.05)。结论早期腰大池持续引流治疗外伤性蛛网膜下腔出血的临床疗效显著,还可以减少部分严重并发症的发生。
Objective To investigate the clinical effect of continuous drainage of early lumbar cistern in the treatment of traumatic subarachnoid hemorrhage and provide a reference for clinical treatment of traumatic subarachnoid hemorrhage. Methods From April 2012 to October 2013, 82 cases of traumatic subarachnoid hemorrhage admitted to Yangchun Hospital of Traditional Chinese Medicine in Guangdong Province were selected as the research object. According to the random number table, the patients were divided into control group and observation group, 41 cases in each group . In the control group, 41 patients underwent repeated lumbar puncture to release cerebrospinal fluid. In the observation group, 41 patients underwent continuous drainage of cerebrospinal fluid in the lumbar cistern at the early stage. After one week of treatment, the clinical efficacy and complications of the two groups were compared. Results One week after the treatment, headache, nausea and vomit in the observation group disappeared, the intracranial pressure returned to normal, and the rate of clearing of cerebrospinal fluid in the observation group was significantly higher than that in the control group (P <0.05). The incidence of complications in the control group Significantly higher than the observation group, the difference was statistically significant (P <0.05). Conclusion The clinical efficacy of continuous drainage of early lumbar cistern for the treatment of traumatic subarachnoid hemorrhage is significant. It can also reduce the incidence of some serious complications.