改良双侧脑室前角穿刺外引流术治疗原发性脑室内出血的疗效观察

Clinical observation of improved two-ventricle drainage in treatment of primary intraventricular hemorrhage

目的观察改良双侧脑室外引流术治疗原发性脑室内出血的临床效果。方法 40例原发性脑室内出血患者随机分为观察组和对照组,各20例。观察组行改良双侧脑室前角穿刺外引流术,对照组采用传统双侧引流术。记录2组格拉斯哥(GCS)评分,观察术后功能恢复情况。结果 2组治疗后GCS评分均下降,与治疗前比较差异均有统计学意义(P<0.05);且治疗组改善情况优于对照组,差异均有统计学意义(P<0.05)。观察组术后1级恢复率高于对照组,3级恢复率低于对照组,差异均有统计学意义(P<0.05)。结论改良双侧脑室前角穿刺外引流术疗效较好,能促进术后功能恢复,提高患者生存质量。

Objective To observe clinical effect of improved two-ventricle drainage in treatment of primary intraventricular hemorrhage. Methods 40 cases patients with primary intraventricular hemorrhage were randomly divided into observation group and control group,20 cases of each. The observation group were modified two ventricle anterior horn puncture external drainage and the control group used the traditional bilateral shunt. Recorded the two groups of GCS score,postoperative functional recovery. Results After treatment,GCS scores of two groups were decreased,compared with before treatment,the differences were statistically significant（ P 0. 05） ; And improvement of the treatment group was better than the control group,the difference was statistically significant（ P 0. 05）. Recovery rate of 1 lever of observation group was higher than control group,recovery rate of 3 lever was lower than control group,the differences were statistically significant（ P 0. 05）. Conclusion Improved two-ventricle drainage in treatment of primary intraventricular hemorrhage has a good effect,can promote functional recovery after surgery and improve quality of life.