低位脑室引流治疗重型丘脑出血破入脑室的疗效观察.docVIP

低位脑室引流治疗重型丘脑出血破入脑室的疗效观察 　　doi：10.3969/j.issn.1007-614x.2014.15.10 　　摘 要 目的：研究和探讨低位脑室引流治疗重型丘脑出血破入脑室的临床效果。方法：2012年1月-2014年1月收治重型丘脑出血破入脑室患者40例，将其随机分为观察组和对照组。对照组接受单侧引流治疗，观察组接受低位脑室引流治疗，对两组的脑室畅通时间、意识清醒时间与脑脊液正常时间等临床观察指标及治疗前后格拉斯哥昏迷评分改善情况进行观察和统计。结果：观察组临床观察指标明显优于对照组（P0.05），观察组治疗后格拉斯哥昏迷评分改善情况明显优于对照组（P0.05）。结论：低位脑室引流治疗重型丘脑出血破入脑室的临床效果显著，有效改善了患者的生活质量，值得推广。 　　关键词 重型丘脑出血破入脑室 低位脑室引流 临床效果 　　To observe the curative effect of low ventricular drainage in the treatment of severe thalamic hemorrhage breaking into the ventricles 　　Ren Jiaqiang 　　The thoracic surgery department of Chinese medicine hospital in Taian City，Shandong Province，271000 　　Abstract Objective：To study and discuss the clinical effect of low ventricular drainage in the treatment of severe thalamic hemorrhage breaking into the ventricles.Methods： 40 cases of patients with severe thalamic hemorrhage breaking into the ventricles were admitted from January 2012 to January 2014.They were randomly divided into observation group and control group.Patients in the control group received unilateral drainage treatment，while patients in the observation group received low ventricular drainage treatment.Observe and statistics ventricles open time，conscious time and cerebrospinal fluid normal time and other clinical observation indicators，and mend matters of Glasgow Coma Scale before and after treatment of patients in two groups.Results：The clinical observation indicators in the observation group were much better than that of the control group（P0.05）.Mend matters of Glasgow Coma Scale before and after treatment of the observation group were much better than that of the control group（P0.05）.Conclusion：The low ventricular drainage in the treatment of severe thalamic hemorrhage breaking into the ventricles has a significant clinical effect，and can effectively improve living quality of patients，so it is worthy of promotion. 　　Key words Severe thalamic hemorrhage breaking into the ventricles；Low ventricular drainage；Clinical ef