创伤性蛛网膜下腔出血临床治疗分析

Clinical Treatment Analysis of Traumatic Subarachnoid Hemorrhage

目的分析蛛网膜下腔出血的临床治疗方法和效果。方法在2013年1月—2015年1月期间该院收治的创伤性蛛网膜下腔出血患者中,随机抽选70例作为研究对象,随机分为两个组别,每组35例。其中一组实施脑脊液置换术,另一组实施腰大池脑脊液引流术。观察患者的治疗效果,比较并发症情况。结果试验组患者恢复良好24例(68.6%),明显高于对照组的15例(42.9%);患者在并发症上出现3例(8.6%),低于对照组的10例(28.6%);P<0.05,差异有统计学意义。结论对于蛛网膜下腔出血患者而言,实施腰大池脑脊液引流效果确切,具有操作简单、并发症少的优点,有利于患者的预后,值得推广。

Objective To analyze the clinical treatment method and effect of traumatic subarachnoid hemorrhage. Methods70 cases of patients with traumatic subarachnoid hemorrhage admitted and treated in our hospital from January 2013 to January 2015 were selected as the research object and randomly divided into two groups with 35 cases in each, one group were treated with cerebrospinal fluid replacement, the other group were treated with lumbar drainage of cerebrospinal fluid,the treatment effect of the two groups was observed and the occurrence of complications was compared. Results The number of the patients recovering well in the experimental group was obviously higher than that in the control group,（24 cases vs15 cases）,（68.6% vs 42.9%）, the number of the patients with complications in the observation group was lower than that in the control group（3 cases vs 10 cases）（8.6% vs 28.6%）,and the differences were statistically significant P〈0.05. Conclusion Lumbar drainage of cerebrospinal fluid in treatment of patients with subarachnoid hemorrhage has a definite effect and the advantages such as easy operation and few complications, and it is conducive to the prognosis of patients and is worth promoting.