颅内压监测下脑室外引流术治疗动脉瘤性蛛网膜下腔出血效果分析

Analysis of the effect of extraventricular drainage under monitoring of intracranialpressure in the treatment of aneurysmal subarachnoid hemorrhage

目的:分析颅内压检测下脑室外引流术在治疗动脉瘤性蛛网膜下腔出血方面的临床疗效。方法:研究对象选择2018年1月至2019年12月本院所收治的50例动脉瘤性蛛网膜下腔出血患者,并且所有患者均经过CT影像学检查证实。患者入院之后就进行ICP探头脑内植入,手术采取全麻方式,颅内压监测仪进行实时测压,对于降压效果不佳者选择经额角穿刺外引流治疗。然后分析患者在治疗前后的Hunt-Hess评分改善情况,判断该手术方法的有效性。结果:患者发病时(治疗前)与治疗后6个月的Hunt-Hess评分差异显著,不同等级患者的评分都有所改善,数据差异显著,结果具有统计学意义(P<0.05)。结论:对于动脉瘤性蛛网膜下腔出血患者而言,颅内压监测下进行脑室外引流术可以起到稳定的治疗效果,改善患者的预后恢复进程。

Objective:To analyze the clinical efficacy of extraventricular drainage under the detection of intracranial pressure in the treatment of aneurysmal subarachnoid hemorrhage.Methods:The study subjects selected 50 patients with aneurysmal subarachnoid hemorrhage admitted to our hospital from January 2018 to December 2019,and all patients were confirmed by CT imaging examination.After the patient was admitted to the hospital,the ICP probe was implanted in the brain,the operation was performed by general anesthesia,and the intracranial pressure monitor was used for real-time pressure measurement.For those with poor blood pressure reduction,external drainage through the frontal angle was selected.Then analyze the improvement of the patient's Hunt-Hess score before and after treatment to judge the effectiveness of the surgical method.Results:The Hunt-Hess scores of patients at the onset of disease(before treatment)and 6 months after treatment were significantly different.The scores of patients of different grades were improved,the data difference was significant,and the results were statistically significant(P<0.05).Conclusion:For patients with aneurysmal subarachnoid hemorrhage,ventricular drainage under intracranial pressure monitoring can have a stable therapeutic effect and improve the patient's prognostic recovery process.