腰池置管脑脊液持续外引流术与脑脊液置换术治疗重症蛛网膜下腔出血150例临床疗效对比.pdfVIP

. 140. Joumal 0/ Clinical αnd Experi阳ntal Medicine Vol. 15 , No.2 Jan. 2016 DOI:10. 3969/j. issn. 1671 -4695.2016.02.016 文章编号:1671 -4695(2016)02 -0140 -03 腰池置管脑脊液持续外引流术与脑脊液置换术 治疗重症蛛网膜下腔出血 150 例临床疗效对比 程珞涛王宁 陈文劲徐跃嚼(首都医科大学宣武医院神经外科北京 100053) [摘要] 目的 分析腰池直管脑脊液持续外引流术和脑脊液直换术用于重症蛛网膜下腔出血治疗的临床效果。 方法 选取 150 例重症蛛网膜下腔出血临床资料，随机将其分为观察组75 例和对照纽75 例。观察组取腰池主管脑脊 液持续外引流术治疗，对照纽取脑脊液直换术治疗。对比两纽患者临床疗效。结果 观察组临床治疗成功率为 94. 670;毛，明显高于对照组的 84. ∞%，差异有统计学意义(P 0.05) 。观察组当中蛛网膜下腔出血停止时间、头吾~疼痛感 停止时间、意识恢复正常所用时间、CSF 压力恢复正常所用时间均明显少于对照纽，差异有统计学意义( P 0.05) 。观 察组发生再出血、脑部血管异常、脑积水等情况的出现概率为 6.67% ，低于对照组的 30.67% ，差异有统计学意义( P 0.05) 。治疗后第3 天、第 5 天、第 7 天、第 14 天，观察组神经功能恢复情况优于对照组，差异有统计学意义(P 0.05) 。 结论 腰池直管脑脊液持续外引流术治疗重症蛛网膜下腔出血，可减少血液中活性物质的剌激，降低并发症发生率，改 善患者预后，值得恪床推广。 [关键词] 重症妹网膜下腔出血腰池直管脑脊液持续外引流术脑脊液直换术 Lumbar catheter sustained external drainage or cerebrospinal ftuid and cerebrospinal ftuid replacement in patients wi曲目vere subarach- noid hemorrhage compare the clinical efficacy of 150ω础• CHENG Wei- 剧， WANG Ning , CHEN Wen -jin , et al. Department 01Neurosur- g町， Xuanwu Hospital 0/ Capital Medical University , 8eijing 1 ∞053 ， China. [Ab剑ract] Objective To analyze the waist p∞1 cerebrospinal fluid continuous external drainage tube and the clinical efficacy of cerebro- spinal fluid replacement therapy in severe subarachnoid hemoπhage. Methods We analyzed clinical data of 150 c皑白 of seve回 subarachnoid hemorrhage. According to the different treatment methods , these patients were divided into the observation group 75 c皑白， control group 75 c曲目. Observation group received waist pool for the treatment of cerebrospinal fluid continuous external draina喜e tube , control group recei ved the ce四b萨 spinal fluid replacement treatment. The clinical efficacy of two groups of patients w幽 compared. Results Total effective rate of observation group W幽 9