腰大池持续引流与脑脊液置换治疗继发性蛛网膜下腔出血比较

The Comparison of Secondary Subarachnoid Hemorrhage Treated by Lumbar Continuous Drainage and Cerebrospinal Fluid Replacement

目的比较腰大池持续引流与脑脊液置换治疗继发性蛛网膜下腔出血的临床疗效。方法整群选取2012年4月—2014年3月该院收治的88例继发性蛛网膜下腔出血患者,随机分为两组,每组44例,对照组患者使用脑脊液置换术进行治疗,观察组使用腰大池持续引流进行治疗,观察两组治疗效果。结果对照组患儿脑积水发生9例(20.45%)、血肿吸收时间(19.35±6.44)d,观察组分别为2例(4.55%)、(10.02±3.62)d,对照组血肿吸收时间及脑积水发生率均高于观察组,差异有统计学意义(P<0.05)。结论腰大池持续引流治疗继发性蛛网膜下腔出血临床效果显著,可减少血肿吸收时间,降低脑积水的发生率,值得临床推广。

Objective To compare the clinical effects of Secondary subarachnoid hemorrhage treated by Lumbar continuous drainage and Cerebrospinal fluid replacement. Methods Group selected 88 cases of patients with Secondary subarachnoid hemorrhage at our hospital from the April 2012 to March 2014. To randomly divided into two groups, each 44 cases. The control group was used the Cerebrospinal fluid replacement, the treatment group was treated by Lumbar continuous drainage, to compared the treatment effect of them. Results The hydrocephalus happened of children patients of the control group was 9 cases （20.45%）, the time of blood tumor absorption was （19.35 ±6.44） d, the treatment group was 2 cases （4.55%）, （10.02±3.62）d, the time of blood tumor absorption and occurrence rate of hydrocephalus of the control group was higher than the treatment group, there was statistical significance （P﹤0.05）. Conclusion That has obvious clinical effect of Secondary subarachnoid hemorrhage treated by Lumbar continuous drainage, and able to decrease the time of blood tumor absorption, reduce the occurrence rate of hydrocephalus, and worth for promotion.