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目的:探讨改良持续腰大池引流在治疗创伤性蛛网膜下腔出血(t SAH)的临床应用效果。方法:选取2013年9月至2015年1月东莞市洪梅医院收治的132例t SAH患者为研究对象,随机分为对照组(n=66)与研究组(n=66),研究组行改良持续腰大池引流,对照组行腰椎穿刺,对比两组临床疗效及并发症发生情况。结果:研究组临床症状消失时间、压力恢复时间、脑脊液轮廓清晰时间明显低于对照组,差异具有统计学意义(P<0.05);研究组脑脊液引流量明显高于对照组,差异具有统计学意义(P<0.05);研究组并发症发生率较对照组更低,差异具有统计学意义(P<0.05)。结论:对t SAH患者采取改良持续腰大池引流治疗,可及时有效清除蛛网膜下腔积血,提高临床疗效,同时降低并发症发生率。
Objective: To investigate the clinical effect of modified continuous lumbar drainage in the treatment of traumatic subarachnoid hemorrhage (t SAH). Methods: A total of 132 patients with t SAH admitted to Dongguan Hongmei Hospital from September 2013 to January 2015 were randomly divided into control group (n = 66) and study group (n = 66). The study group was improved Continuous lumbar drainage, control group, lumbar puncture, the two groups compared the clinical efficacy and complications. Results: The disappearance time of clinical symptoms, pressure recovery time, clear time of cerebrospinal fluid contours of the study group were significantly lower than those of the control group (P <0.05). The drainage volume of cerebrospinal fluid in the study group was significantly higher than that of the control group (P <0.05). The incidence of complications in study group was lower than that in control group (P <0.05). Conclusion: The improved sustained lumbar cistern drainage in t SAH patients can effectively and effectively remove the subarachnoid hemorrhage, improve the clinical curative effect and reduce the incidence of complications.