侧脑室引流配合终池持续引流术治疗继发性脑室出血临床观察

Effect of combination therapy with lateral ventricular drainage and terminal cistern continuous drainage on secondary intraventricular hemorrhage

目的:探讨侧脑室引流配终池持续引流术治疗中、重型继发性脑室出血患者的临床疗效。方法:84例中、重度继发性脑室出血患者随机分为两组,治疗组(n=42)采用侧脑室引流配合终池置管持续引流术治疗,对照组(n=42)行内科保守治疗。结果:治疗组欧洲卒中量表(ESS)7,14,28,90 d后总生活能力(ADL)情况与对照组比较差异有显著性(P<0.05),治疗组总有效率73.8%,对照组总有效率35.7%,两组比较差异有显著性。结论:侧脑室引流配合终池持续引流术治疗中、重型继发性脑室出血,在改善神经功能和生活能力方面优于对照组,具有较好的临床疗效。

Objective：To evaluate the clinical efficacy of the combination treatment with lateral ventricular drainage and terminal cistern continuous drainage in moderate or severe secondary intraventricular hemorrhage.Methods：Eighty-four patients with moderate or severe secondary intraventricular hemorrhage were rando mly assigned to one of two groups.Besides with routine routine medical therapy the experimental group（n=42） also received the combination therpy with lateral ventricular drainage and terminal cistern continuous drainage.The control group（n=42） were treated with routine medical therapy only.The outcome was measured by european stroke scale（ESS） and activities of daily living（ADL）.Results：The ESS score at 7,14,and 28 days and the ADL index at 90 days were improved significantly in experimental group as compared with which in control group（P0.05）.More patients had a favorable outcome with combination therapy than with control（73.80%vs35.7%,P0.05）.Conclusion：Combination therapy with lateral ventricular drainage and terminal cistern continuous drainage,could improve neurological deficit scores and activity of daily life in patients with moderate or severe secondary intraventricular hemorrhage