基于VirLaser以颅内压为靶向目标对提高腰大池有效引流的研究

Study of based on the intracranial pressure by Virlaser to improve the effective of lumbar drainage

目的评价基于VirLaser以颅内压为靶向目标对腰大池置管引流结局的影响。方法选择2016年7月至2017年12月在浙江大学医学院附属第二医院神经外科住院且进行腰大池置管的115例患者作为研究对象，按照随机数字表法分为对照组59例，试验组56例。对照组采用常规方法进行腰大池置管引流管理，依据经验通过目测法调节引流高度；试验组按设计的腰大池置管引流管理方案进行管理，使用VirLaser系统调控引流压力和高度，以腰大池引流并发症、引流有效性、置管天数等为评价指标，评价实施效果。结果2组患者在引流并发症差异无统计学意义（P〉0．05）。试验组患者引流有效39例，置管天数（6．07±2．74）d；对照组引流有效30例，置管天数（7．24±3．52）d，2组引流结局比较差异有统计学意义（χ^2=4．314，t=-1．987，P〈0．05）。结论 基于VirLaser以颅内压为靶向目标的腰大池置管能提高患者引流有效性和缩短置管天数。

Objective To investigate the effective of based on the intracranial pressure by Virlaser to lumbar drainage. Methods A total of 115 lumbar pool drainage patients in department of neurosurgery,randomly into the experimental group （n=56） and the control group （n=59） by random number table method.The patients in the control group were treated with conventional methods.The patients in the experimental group were treated with lumbar pool drainage based on the intracranial pressure by Virlaser.The complications of lumbar drainage,the effectiveness of drainage and the days of catheterization were used to evaluate the effectiveness. Results The differences in drainage complications was no statistically significant（P〉0.05）; the efficacy cases of the experimental group were 39 and 30 in the control group, the days of catheterization of the experimental group were （6.07±2.74） days while （7.24±3.52） days in the control group.There were statistically significant differences in the efficacy and the days of catheterization （χ^2=4.314, t=- 1.987, P 〈 0.05）. Conclusions Lumbar drainage based on the intracranial pressure by Virlaser can improve the effectiveness of drainage and shorten the days of catheterization.