简易脑脊液置换治疗蛛网膜下腔出血性头痛

Cerebrospinal fluid exchange for headache resulting from subarachnoid hemorrhage

目的:探讨脑脊液置换术治疗蛛网膜下腔出血头痛的临床疗效。方法:将我院近年来收治的28例蛛网膜下腔出血性患者随机分为腰穿置管脑脊液置换组和对照组,治疗组在常规治疗基础上给予等容等压大量脑脊液置换,对照组常规甘露醇脱水降颅压治疗,15d后对比治疗效果及其头痛持续时间。结果:治疗组有效12例,总有效率85.71%,对照组有效7例,总有效率50.0%,治疗组治疗效果优于对照组。两组头痛持续时间比较差异有统计学意义(P<0.05)。结论:腰穿脑脊液置换治疗SAH具有显著的临床疗效。

Objective To study the curative effect of cerebrospinal fluid （CSF） exchange for headache resuhing from subarachnoid hemorrhage （SAH） by keeping catheter in lumbar puncture. Method Twenty - eight patients were divided randomly into two groups ： the control group and the test group. Both groups were given routine treatment, but the test group was cured by intrathecal injection of exchange of cerebrospinal fluid for treatment additionally. Results Compared with the control group, there was obvious difference in curative effect of the two groups （ P 〈 0.05 ）, and complications of persistent headache were fewer in the test group. Conclusion Exchange of cerebrospinal fluid plus conventional treatment is more effective than conventional treatment alone in the treatment of SAH.