微创穿刺脑室外引流术联合早期腰大池引流术治疗脑室出血的疗效分析

Efficiency analysis of minimally invasive puncture external ventricular drainage combined with early lumbar cistern drainage in the treatment of patients with ventricular hemorrhage

目的探讨微创穿刺脑室外引流术联合早期腰大池引流术治疗脑室出血的疗效。方法将78例脑室出血患者随机分为参照组与联合组,每组39例。参照组采用单纯微创穿刺脑室外引流术治疗,联合组采用微创穿刺脑室外引流术联合早期腰大池引流术治疗。比较2组患者的临床疗效。结果联合组患者临床治疗总有效率为94. 87%,显著高于参照组的71. 79%(P <0. 05)。治疗后,2组患者格拉斯哥预后评分(GOS)、格拉斯哥昏迷评分(GCS)均显著升高,神经功能缺损评分(CSS)均显著下降,且联合组改善效果显著优于参照组(P <0. 05)。治疗后,联合组患者血肿清除时间为(5. 56±1. 82) d,显著短于参照组的(8. 81±1. 63) d (P <0. 05);联合组患者术后3 d血肿清除率为38. 46%,显著高于参照组的10. 26%(P <0. 05)。结论脑室出血患者采用微创穿刺脑室外引流术联合早期腰大池引流术的效果显著,有助于改善患者的临床症状,促进血肿的清除。

Objective To explore the efficiency of minimally invasive puncture external ventricular drainage combined with early lumbar cistern drainage in the treatment of patients with ventricular hemorrhage. Methods A total of 78 patients with ventricular hemorrhage were randomly divided into reference group and combined group, with 39 cases in each group. The patients in the reference group were treated with minimally invasive puncture external ventricular drainage, while the patients in the combined group were treated with minimally invasive puncture external ventricular drainage and early lumbar cistern drainage. Clinical efficiency was compared between two groups. Results The total effective rate of the combined group was 94.87%, which was significantly higher than 71.79% of the control group ( P <0.05). After treatment, the Glasgow Outcome Score (GOS) and Glasgow Coma Scale (GCS) scores of the two groups significantly increased, while the China Stroke Score (CSS) score significantly decreased, and the improvement effect of the combined group was significantly better than that of the reference group ( P <0.05). After treatment, the clearance time of hematoma in the combined group was (5.56±1.82) days, which was significantly shorter than (8.81±1.63) days in the control group ( P <0.05). The clearance rate of hematoma in the combined group was 38.46%, which was significantly higher than 10.26% in the reference group ( P <0.05). Conclusion Minimally invasive puncture external ventricular drainage combined with early lumbar cistern drainage is effective in treating patients with ventricular hemorrhage, which can improve clinical symptoms and promote the clearance of hematoma.