目的分析总结腰大池腹腔分流术治疗交通性脑积水护理的效果。方法腰大池腹腔分流术是将蛛网膜下腔腰段的脑积水分流到腹腔,近年来应用较多,体外可调压微创腰大池-腹腔分流术是一种安全、高效的治疗方法。结果 37例患者术后30例需调压,最多调压4次。所有患者术后症状明显改善,其中22例患者症状完全缓解。术后复查头CT扩大脑室均明显缩小,间质水肿好转,其中25例恢复正常大小。术后1例感染,经抗生素治疗后好转,18例出现分流过度,12例出现分流不足经调压后均好转。结论腰大池腹腔分流术治疗交通性脑积水疗效显著,但围手术期容易出现一些不良反应或并发症,因此加强围手术期护理对保证手术效果,预防并发症至关重要。护士应严格掌握相关围手术期知识,加强护理,减少或避免患者术后并发症。 Objective To analyze the effect of lumbar cistern shunt on the treatment of traffic hydrocephalus. Methods Lobe cistern peritoneal shunt is the subarachnoid lumber of hydrocephalus shunt to the abdominal cavity, more applications in recent years, in vitro adjustable minimally invasive lumbar laparotomy is a safe and efficient treatment. Results Thirty-seven patients needed to be pressure-controlled after the operation, up to 4 times. All patients had significantly improved postoperative symptoms, of which 22 patients had complete remission of symptoms. Postoperative recanalization CT ventricular enlargement were significantly reduced, interstitial edema improved, of which 25 cases returned to normal size. Postoperative infection in 1 case improved after antibiotic treatment, 18 cases showed excessive shunt, 12 cases of shunt insufficiency after the pressure regulation were improved. Conclusions The lumbar cistern shunt is effective in treating hydrocephalus. However, there are some side effects or complications during perioperative period. Therefore, enhancing perioperative nursing is of vital importance in ensuring surgical outcomes and preventing complications. Nurses should strictly control the perioperative knowledge, strengthen nursing, reduce or avoid the patient’s postoperative complications.