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目的探讨持续腰池引流治疗外伤性蛛网膜下隙出血(tSAH)的疗效。方法回顾性分析于2010年9月~2016年2月在我院住院治疗的144例外伤性蛛网膜下隙出血患者的临床资料,数字法随机分为两组。观察组患者给予腰大池持续外引流治疗,对照组患者则给予反复腰穿治疗,观察并对比两组的临床疗效与预后。结果临床恢复情况观察组患者明显优于对照组,差异具有统计学意义(P<0.05)。同时,观察组脑积水、继发癫痫与再出血发生率明显低于对照组,差异显著(P<0.05)。两组GOS评分比较,观察组预后良好率明显高于对照组(P<0.05)。结论腰大池持续外引流术大大避免了反复腰穿的繁琐,可有效缓解患者头痛、快速清除血性脑脊液、缩短住院时间、改善预后,且病情恢复快、并发症少,值得临床推广。
Objective To investigate the effect of continuous drainage on traumatic subarachnoid hemorrhage (tSAH). Methods The clinical data of 144 patients with traumatic subarachnoid hemorrhage hospitalized in our hospital from September 2010 to February 2016 were retrospectively analyzed. The digital method was randomly divided into two groups. Patients in the observation group were given continuous ligation of the lumbar cistern, while patients in the control group were given repeated lumbar puncture. The clinical effects and prognosis of the two groups were observed and compared. Results Clinical recovery patients in the observation group were significantly better than the control group, the difference was statistically significant (P <0.05). At the same time, the observation group hydrocephalus, secondary epilepsy and rebleeding incidence was significantly lower than the control group, a significant difference (P <0.05). The two groups GOS score, the observation group was significantly better prognosis than the control group (P <0.05). Conclusion Continuous external drainage of the lumbar cistern avoids cumbersome repetitive lumbar puncture, which can effectively relieve headache, quickly clear the bloody cerebrospinal fluid, shorten the hospital stay, improve the prognosis, recover the disease rapidly and have fewer complications. It is worthy of clinical promotion.