神经内科蛛网膜下腔出血规范治疗临床体会

Clinical experience in standard treatment of subarachnoid hemorrhage in department of neurology

目的分析蛛网膜下腔出血采取规范化治疗后的临床效果。方法将蛛网膜下腔出血146例患者随机分为73例观察组和73例对照组,观察组采用规范化治疗,对照组采用传统方法治疗,对两组治疗效果进行对比。结果患者的致残率、并发症出现率、致死率、患者头痛时间和意识恢复时间以及血性脑脊液清除时间等,观察组同对照组相比明显缩短,比较具有统计学差异(P<0.05)。结论蛛网膜下腔出血患者采用规范化治疗,可以依据病因进行彻底治疗,避免再次出血,降低脑部血管痉挛和脑积水的出现,能够使患者的致残率、并发症出现率以及致死率大大降低,值得进行推广。

Objective To analyze the clinical effect of standard treatment of subarachnoid hemorrhage. Methods A total of 146 patients with subarachnoid hemorrhage were randomly divided into observation group （n=73） and control group （n =73）. The observation group received standard treatment, while the treatment group received conventional treatment. The two groups were compared in terms of treatment outcome. Results Compared with the control group, the observation group had significantly reduced disability rate, incidence of complications, fatality rate, duration of headache, time to recovery of consciousness, and time to clearance of bloody cerebrospinal fluid （P〈0.05）. Conclusion With standard treatment, patients with subarachnoid hemorrhage can be cured according to the causes to avoid recurrent hemorrhage and reduce the incidence of cerebral vasospasm and hydrocephalus. Therefore, the disability rate, rate of complications, and fatality rate among patients can be greatly reduced. The standard treatment holds promise for clinical application.