脑膜炎并脑积水临床特点及治疗措施分析

Analysis of clinical characteristics and treatment measures of meningitis complicating with hydrocephalus

目的探讨脑膜炎并脑积水临床特点及治疗措施，为疾病的诊断、治疗及预防提供可靠的参考依据。方法选取我院2012年1月至2013年1月收治的60例脑膜炎并脑积水患者，通过随机数字表法将其分为对照组和观察组各30例，对照组患者给予甘露醇治疗，观察组患者在此基础上给予甘油果糖治疗，分析脑膜炎并脑积水的临床特点，并探讨两组患者临床治疗效果。结果观察组患者临床治疗总有效率为93．33％，与对照组治疗总有效率60．00％相比差异有统计学意义（x2=31．0481，P=0．0000）。结论脑积水是脑膜炎常见并发症，临床检查结果可以为临床治疗提供科学有效的治疗方案，应用甘露醇联合甘油果糖治疗脑膜炎并脑积水疗效显著，可明显改善临床症状，减轻患者痛苦，降低死亡率，同时临床应完善治疗脑膜炎并脑积水的方式，积极采取科学合理的治疗措施，最大程度降低疾病的危害，提高患者生活质量。

Objective To explore the clinical characteristics and treatment measures of meningitis complicating with hydrocephalus, and provide reliable reference for the diagnosis, treatment and prevention of the disease. Methods 60 cases of meningitis complicating with hydrocephalus in our hospital from January 2012 to January 2013 were randomly divided into control group （n=30） and observation group （n=30）. Control group was treated with mannitol, and observation group was treated with glycerin fructose on the basis of control group. Analyzed the clinical characteristics of meningitis complicating with hydrocephalus and clinical therapeutic effect of two groups. Result The total effective rate in observation group was higher than that in control group （93.33% vs.60.00%; X2=31.0481, P=0.0000）. Conclusions Hydrocephalus is a common kind of complication ＆meningitis. Clinical examination results can provide reference for scientific and effective clinical treatment. Application of mannitol combined with glycerol fructose in the treatment of meningitis complicating with hydrocephalus has remarkable curative effect, can improve clinical symptoms, reduce the pain of patients and the mortality. We should improve treatment method of meningitis complicating with hydrocephalus, actively take scientific and reasonable treatment measures, reduce the danger of disease to the maximal degree, improve quality of life.