脑脊液置换加地塞米松鞘内注射治疗脑室出血疗效观察

Cerebrospinal fluid replacement plus dexamethasone intrathecal injection of intraventricular hemorrhage

目的:探讨脑脊液置换加地塞米松鞘内注射治疗脑室出血的疗效。方法:对72例符合内科保守治疗的脑室出血患者按是否同意腰穿脑脊液置换术分为两组,对照组采用内科常规治疗;治疗组采用内科常规治疗加脑脊液置换联合地塞米松鞘内注射。结果:治疗组意识障碍持续时间(2.10±0.42)d,头痛持续时间(6.32±1.22)d,颈强直持续时间(7.36±2.09)d,住院时间(15.88±2.62)d;对照组意识障碍持续时间(3.30±1.58)d,头痛持续时间(10.48±2.36)d,颈强直持续时间(13.15±2.12)d,住院时间(28.28±2.98)d。两组比较,意识障碍持续时间、头痛的持续时间、颈强直持续时间、住院天数比较,均具有统计学意义(P<0.05)。结论:治疗组疗效明显优于对照组。

Objective To investigate the cerebrospinal fluid replacement plus dcxamethasonc intrathecal intraventricular hemorrhage.Methods 72 cases of conservative treatment in patients with intraventricular hemorrhage agree to the waist through the cerebrespinal fluid replacement is divided into two groups,routine medical treatment; treatment group were treated with conventional medical therapy plus cerebrospinal fluid exchange combined with dexamethasone intratheeal injection.Results The treatment group awareness of barriers continue to （2.10 ± 0.42 ）d, headache continuous time （ 6.32 ± 1.22 ） d, stiff neck, continuous time （ 7.36 ± 2.09 ） d, hospitalization days, number of （ 15.88 ± 2.62 ） d; control group awareness of barriers to continued time（3.30 ± 1.58） d,headache duration（ 10.48 ± 2.36）d ,neck stiffness duration（ 13.15 ± 2.12）d, the number of hospital days （ 28.28 ± 2.98） d. The two groups, disturbance of consciousness, duration of headache duration, stiff neck, duration, length of stay are significant differences（ P 〈 0.05）. Conclusion The treatment group than the control group.