自发性蛛网膜下腔出血术后采取不同脑脊液置换方法的临床效果对比研究

Comparison of Clinical Effect of Different Cerebrospinal Fluid Displacements for Spontaneous Subarachnoid Hemorrhage after operation

目的探讨自发性蛛网膜下腔出血术后采取不同脑脊液置换方法的临床效果。方法随机选取2013年2月—2014年10月该院接收的60例SAH患者。按入院的先后顺序将患者分为观察组和对照组,各30例。给予对照组常规的置换治疗,而对观察组的脑脊液进行充分置换。比较两组的疗效及住院的时间、头痛持续的时间及脑膜刺激征的消失时间。结果观察组的治疗有效率达到了86.7%,明显高于对照组治疗有效率66.7%(P<0.05);观察组的住院的时间、头痛持续的时间、脑膜刺激征的消失时间明显低于照组(P<0.05)。结论充分置换脑脊液对于自发性蛛网膜下腔出血术后的患者有着不错的治疗效果。

Objective To comparatively study the clinical effects of different cerebrospinal fluid displacement for spontaneous subarachnoid hemorrhage(SAH) after operation. Methods 60 patients with SAH admitted to the hospital between February 2013 and October 2014 were included. They were assigned, according to admission time, to undergo conventional displacement(control group, n=30) and(observation group, n=30) full cerebrospinal fluid displacement. The efficacy, hospital stay, headaches duration,and disappearance of meningeal irritation sign were compared between the two groups. Results The treatment efficiency(86.7% vs66.7%) was significantly higher in the observation group than in the control group, P<0.05; the hospital stay duration of headaches,disappearance time of meningeal irritation sign were all less in the observation group than in the control group, P<0.05. Conclusion Full cerebrospinal fluid displacement has a good effect on curing the spontaneous subarachnoid hemorrhage after surgery.