论文部分内容阅读
目的观察腰穿置管持续脑脊液引流治疗重症结核性脑膜炎的疗效。方法治疗组患者(31例)进行腰穿置管持续脑脊液引流加抗结核药物治疗;对照组患者(30例)采取单纯抗结核药物治疗。结果两组根据体温恢复正常时间、脑脊液压力、脑脊液常规及生化指标恢复正常时间、脑积水发生率等进行比较,治疗组优于对照组(P<0.05)。结论在应用足量抗结核药物治疗的前提下,重症结核性脑膜炎患者采用腰穿置管持续脑脊液引流,疗效明显提高。
Objective To observe the curative effect of continuous lumbar catheterization of cerebrospinal fluid drainage on severe tuberculous meningitis. Methods Patients in the treatment group (31 cases) underwent continuous lumbar catheterization with continuous drainage of cerebrospinal fluid and antituberculosis drugs. Patients in the control group (n = 30) received anti-tuberculosis drugs. Results The two groups were better than the control group (P <0.05) according to the normal time of body temperature recovery, cerebrospinal fluid pressure, routine and biochemical indexes of cerebrospinal fluid and the recovery time of normal saline and hydrocephalus. Conclusion In the application of adequate anti-TB drug treatment, patients with severe tuberculous meningitis continued drainage of cerebrospinal fluid by lumbar cannulation, the effect was significantly improved.