腰大池持续外引流治疗脑室积血的临床疗效探讨

The Clinical Effect of Continuous External Drainage of Lumbar Great Pond in the Treatment of Intraventricular Hemorrhage

目的研究脑室积血患者实施腰大池持续外引流的具体的临床治疗效果,从而为脑室积血患者的治疗提供一定的帮助。方法随机选取2017年10月—2019年2月期间,该院收治的100例脑室积血患者作为研究案例,采用随机数字表法将其分为实验组与对照组,各为50例。其中常规的脑室外引流术为对照组患者的治疗方法,常规的脑室外引流及腰大池持续外引流术为实验组治疗方法,比较对比两组患者的治疗满意度、两组患者的术后并发症情况、脑室积血清除率、日常生活活动能力评分。结果①实验组患者治疗满意度高于对照组患者,差异有统计学意义(χ2=11.960,P=0.000)。②实验组患者的日常生活活动能力评分明显优于对照组患者,差异有统计学意义(P<0.05)。③实验组患者的并发症发生概率为2.00%。对照组患者的并发症发生概率为14.00%,两组差异有统计学意义(χ2=4.891,P=0.027)。④实验组患者的脑室积血清除率优于对照组患者,积血清除时间短于对照组患者,两组之间差异有统计学意义(P<0.05)。结论在该次研究调查当中得出,腰大池持续外引流术对于脑室积血这一疾病的临床治疗效果良好。

Objective To study the specific clinical treatment effect of continuous external drainage of large lumbar cistern in patients with hepatic ventricular hemorrhage,so as to provide certain help for the treatment of patients with ventricular hemorrhage.Methods A random selection of 100 patients with hepatic hemorrhage from October 2017 to February 2019 was used as a study case.Random number table method was used to divide them into experimental and control groups,each with 50 cases.Conventional extraventricular drainage is the treatment method for patients in the control group,conventional extraventricular drainage and continuous external drainage of the lumbar great pond are the treatment methods in the experimental group,and the treatment satisfaction and the postoperative complications of the two groups were compared,as well as symptoms,clearance of hemorrhage in the ventricle,scores of activities of daily living.Results 1.The treatment satisfaction of the experimental group was higher than that of the control group.and the difference was statistically significant(χ2=11.960,P=0.000).2.The score of daily living activity ability of patients in the experimental group was significantly better than that in the control group.and the difference was statistically significant(P<0.05).3.The probability of complications in the experimental group was 2.00%.The complication rate of patients in the control group was 14.00%.and the difference was statistically significant(χ2=4.891,P=0.027).4.The clearance rate of cerebral hemorrhage in the experimental group was better than that in the control group,and the clearance time was shorter than that in the control group.There were differences be tween the two groups with statistical significance(P<0.05).Conclusion In this research survey,it can be clearly concluded that the continuous external drainage of the large lumbar cistern is effective for the treatment of cerebral ventricular hemorrhage.