脑脊液置换治疗小儿蛛网膜下腔出血及脑室出血的临床分析

Clinical Analysis of Cerebrospinal Fluid Replacement in the Treatment of Subarachnoid Hemorrhage and Cerebral Hemorrhage of Children

目的对脑脊液置换在小儿蛛网膜下腔出血及脑室出血的临床治疗效果进行分析探讨及研究。方法选取2014年8月至2015年8月在我院进行小儿蛛网膜下腔出血及脑室出血的小儿患者116例作为临床研究对象,并随机分为观察组和对照组,每组各58例。对照组患者采用常规的治疗方法,观察组患者采用脑脊液置换治疗。对两组患者的临床神经功能缺损情况进行对比评分,同时在两组患者临床治疗的效果方面也进行对比。结果经详细对比评分分析得出,观察组患者的临床神经功能缺损明显低于对照组,而且观察组患者的治疗总有效率高达91.38%,明显高于对照组的74.14%,两组患者的比较结果差异具有统计学意义(P<0.05)。结论由此可以看出脑脊液置换对于治疗小儿蛛网膜下腔出血及脑室出血具有显著的临床疗效,值得在各医院进行推广及使用。

Objective To analyze and research the clinical effect of cerebrospinal fluid replacement in the treatment of subarach-noid hemorrhage and cerebral hemorrhage of children. Methods From August 2014 to August 2015, 116 cases of pediatric patients with subarachnoid hemorrhage and cerebral hemorrhage in our hospital were randomly divided into observation group and control group, with 58 cases in each group. Patients in the control group were treated with routine treatment, while those in the observation group were treated with cerebrospinal fluid replacement therapy. Scores of clinical neurologic impairment and clinical treatment effect of the two groups were compared. Results After a detailed comparison of score analysis, clinical neurologic impairment of the observation group was significantly lower than that of the control group, and the total effective rate of the observation group （91. 38%） was signifi-cantly higher than that of the control group （ 74. 14%） , which were statistically significant （ P〈0. 05 ） . Conclusion Cerebrospinal fluid replacement has significant curative effect in the treatment of subarachnoid hemorrhage and cerebral hemorrhage of children, which is worthy of promotion and application in the hospital.