开颅夹闭术联合持续腰大池引流治疗急性破裂期颅内动脉瘤的临床效果

Clinical effect of neurosurgical clipping and continuous lumbar cistern drainage in the treatment of acute ruptured intracranial aneurysms

目的探讨急性破裂期颅内动脉瘤患者采取持续腰大池引流辅助治疗的疗效。方法选取2017年7月～2018年7月期间我院接收的60例急性破裂期颅内动脉瘤患者,按照随机数字表法分为对照组(n=30,采取单独开颅夹闭术)与观察组(n=30,采取开颅夹闭术联合持续腰大池引流辅助治疗),观察住院情况及并发症、预后情况。结果观察组恢复良好率较对照组明显要高(P<0.05);观察组平均住院时间、住院费用均较对照组明显要少(P<0.05);此外,观察组并发症发生率、脑积水后遗症发生率及再出血发生率均较对照组明显要低(P<0.05)。结论急性破裂期颅内动脉瘤采取开颅夹闭术治疗,并辅以持续腰大池引流治疗,能提高患者的预后,减少并发症,缩短住院时间,减轻治疗费用,具有推广价值。

Objective To investigate the efficacy of continuous lumbar cistern drainage in patients with acute ruptured intracranial aneurysms.Methods Sixty patients with acute ruptured intracranial aneurysms treated in our hospital from July 2017 to July 2018 were enrolled and divided in to the control group(n=30,given simple neurosurgical clipping)and the observation group(n=30,given neurosurgical clipping combined with continuous lumbar cistern drainage)according to the random number table.The hospitalization,complications and prognosis of the two groups were observed.Results The excellent and good rate of recovery in the observation group was significantly higher than that of the control group(P<0.05).The average hospitalization time and hospitalization cost of the observation group were significantly lower than those of the control group(P<0.05).In addition,the incidence rates of complications,hydrocephalus and rehaemorrhagia in the observation group were significantly lower than those in the control group(P<0.05).Conclusion In the acute rupture period of intracranial aneurysms,neurosurgical clipping combined with continuous lumbar cistern drainage can improve the prognosis of patients,reduce complications,shorten hospitalization time,and reduce treatment costs,which is worthy to be promoted.