腰大池持续引流在重型颅脑损伤并蛛网膜下腔出血治疗中的价值探析

Value investigation of continuous lumbar cistern drainage in the treatment of severe craniocerebral injury complicated with subarachnoid hemorrhage

目的探究重型颅脑损伤并蛛网膜下腔出血采用腰大池持续引流的效果。方法 56例重型颅脑损伤并蛛网膜下腔出血患者,随机分为对照组和观察组,各28例。对照组实施腰椎穿刺放液治疗,观察组实施腰大池脑脊液持续引流治疗。观察两组临床疗效。结果观察组脑脊液红细胞〈100×10~6/L时间（7.423±1.765）d、并发症发生率17.86%,均明显少于对照组的（10.423±1.890）d、85.71%（P〈0.05）;术后6个月预后情况明显优于对照组（P〈0.05）。结论重型颅脑损伤并蛛网膜下腔出血采用腰大池持续引流,可将血性脑脊液有效清除,降低并发症发生率,提高预后效果。

Objective To investigate effect by continuous lumbar cistern drainage in the treatment of severe craniocerebral injury complicated with subarachnoid hemorrhage. Methods A total of 56 patients with severe craniocerebral injury complicated with subarachnoid hemorrhage were randomly divided into control group and observation group, with 28 cases in each group. The control group received lumbar puncture drainage for treatment, and the observation group received continuous lumbar cistern drainage for treatment. Clinical effects of both groups were observed. Results The observation group had obviously shorter cerebrospinal fluid erythrocyte 100×10~6/L time as（7.423±1.765） d and lower incidence of complications as 17.86% than（10.423±1.890） d and 85.71% in the control group（P〈0.05）. It also had much better prognosis in postoperative 6 months than the control group（P〈0.05）. Conclusion Implement of continuous lumbar cistern drainage for severe craniocerebral injury complicated with subarachnoid hemorrhage can effectively remove bloody cerebrospinal fluid, reduce incidence of complications and improve prognosis effect.