腰大池持续外引流治疗出血性脑卒中破入脑室的临床分析

Clinical analysis of external drainage of lumbar cistern in the treatment of hemorrhagic stroke broken into the ventricle

目的 研究出血性脑卒中破入脑室患者治疗中采取腰大池持续外引流的临床效果.方法 依据患者入院顺序,将我院2015年4月至2016年4月期间收治的54例出血性脑卒中破入脑室患均分为参照组与试验组,每组27例,将采取常规保守治疗的患者作为参照组,将采取腰大池持续外引流的患者作为试验组,对两组患者治疗后住院时间和脑积水发生率进行比较.结果试验组患者平均住院时间、脑积水发生率均显著优于参照组（P〈0.05）.结论腰大池持续外引流治疗出血性脑卒中破入脑室疗效确切,可以降低发生脑积水的几率,值得临床上广泛应用.

Objective To study the clinical effect of external drainage of lumbar cistern in the treatment of patients with hemorrhagic stroke broken into the ventricle. Methods According to visiting sequence, 54 cases of patients with .hemorrhagic stroke broken into the ventricle from April 2015 to April 2016 were divided into control group and experimental group, with 27 cases in each group. Patients in the control group were treated with conventional conservative treatment, while patients in the experimental group were treated with external drainage of lumbar cistern based on the conventional conservative treatment. After treatment, length of hospital stay and the incidence of hydrocephalus of two groups were compared. Results The average length of hospital stay and incidence of hydrocephalus of observation group were significantly better than those of the control group （P〈0.05）. Conclusion External drainage of lumbar cistern has remarkable curative effect in the treatment of patients with hemorrhagic stroke broken into the ventricle, can effectively reduce the incidence of hydrocephalus, which is worthy of widely clinical application.