CAJ | 학술논문

目的：观察和分析采用腰大池-腹腔分流术治疗交通性脑积水的临床效果。方法将本院收治的78例交通性脑积水患者按照随机数字表法分为对照组和治疗组，每组各39例。对照组患者采用传统手术治疗；治疗组患者采用腰大池-腹腔分流术治疗。结果治疗后，治疗组患者格拉斯哥昏迷评分（GCS）、感染率、平均手术时间、平均住院时间、拔管时间、下床活动时间分别为（4.2±0.3）分、2.56%（1/39）、（62.2±10.2）分钟、（10.5±2.3）天、（4.5±0.9）天、（3.2±1.3）天，与对照组[（3.1±0.5）分、15.38%（6/39）、（97.8±11.3）分钟、（19.8±3.6）天、（8.6±1.1）天、（6.7±2.1）天]比较差异均有显著性（P均＜0.05）。结论采用腰大池-腹腔分流术治疗交通性脑积水，能够有效改善患者的临床症状，缩短下床活动时间和住院时间，加速患者康复。
목적：관찰화분석채용요대지-복강분류술치료교통성뇌적수적림상효과。방법장본원수치적78례교통성뇌적수환자안조수궤수자표법분위대조조화치료조，매조각39례。대조조환자채용전통수술치료；치료조환자채용요대지-복강분류술치료。결과치료후，치료조환자격랍사가혼미평분（GCS）、감염솔、평균수술시간、평균주원시간、발관시간、하상활동시간분별위（4.2±0.3）분、2.56%（1/39）、（62.2±10.2）분종、（10.5±2.3）천、（4.5±0.9）천、（3.2±1.3）천，여대조조[（3.1±0.5）분、15.38%（6/39）、（97.8±11.3）분종、（19.8±3.6）천、（8.6±1.1）천、（6.7±2.1）천]비교차이균유현저성（P균＜0.05）。결론채용요대지-복강분류술치료교통성뇌적수，능구유효개선환자적림상증상，축단하상활동시간화주원시간，가속환자강복。
Objective Observation and analysis the clinical effect of the lumbar peritoneal shunt for hydrocephalus. Method Divided 78 cases of trafifc hydrocephalus patients in our hospital into control group and treatment group according to random number table method. Control group:performed with the traditional surgery; treatment group: performed with lumbar pool-celiac bypass surgery. Result After treatment, the average GCS score, the infection rate, average operation time, average hospitalization time, extubation time, and time to ambulation of the control group were (4.2±0.3), 2.56%(1/39), (62.2±10.2) minutes, (10.5±2.3), and (4.5±0.9) days. Statistics of the treatment group were (3.2±1.3) days (3.1±0.5) ,15.38%(6/39), (97.8±11.3) minutes, (19.8±3.6), (8.6±1.1) days, and (6.7±2.1) days, which were significant different (P < 0.05). Conclusion The lumbar peritoneal shunt for hydrocephalus can effectively improve the clinical symptoms of the patients, shorten the ambulation and length of hospital stay, accelerate the rehabilitation of patients.