血性脑脊液外引流对外伤性蛛网膜下腔出血的治疗效果分析

Cerebrospinal Fluid Drainage Improved Efficacy in Traumatic Subarachnoid Hemorrhage

目的:比较研究在外伤性蛛网膜下腔出血患者中脑脊液外释放的疗效。方法:对共56例外伤性蛛网膜下腔出血患者进行研究,18例患者进行脑脊液外引流,其中10例进行腰椎穿刺术,8例进行腰大池引流术。38例患者进行对照研究。结果:观察组总体疗效明显好于对照组。头痛时间、脑膜刺激征时间、住院时间有明显改善,差异有统计学意义(P<0.05)。观察组并发症(脑血管痉挛、脑积水、硬膜下积液)发生率明显少于对照组,差异有统计学意义(P<0.05)。结论:早期释放血性脑脊液有效缩短病程,减少患者痛苦,减少并发症的发生。

Objective To investigate the efficacy of cerebrospinal fluid drainage in patients with traumatic subarachnoid hemorrhage.Method 56 patients with traumatic subarachnoid hemorrhage were studied.Cerebrospinal fluid(CSF)lumbar puncture was performed in 18 patients,of which 10 patients performed lumbar puncture and 8 patients underwent lumbar drainage.A control study was carried out in 38 patients.Results The overall efficacy of the observation group was significantly better than control group.Headache time,meningeal irritation time,and hospitalization time were significantly improved,the different statistically significant(P<0.05).The incidences of complication(cerebral vasospasm,hydrocephalus,subdural effusion)were significantly lower than that of the control group,the different was statistically significant(P<0.05).Conclusion Early release of bloody cerebrospinal fluid can effectively shorten the course of disease,heduce the pain of patients and reduce the occurrence of complications.