CAJ | 학술논문

目的：探讨动脉瘤栓塞、脑脊液置换联合治疗蛛网膜下腔出血患者的临床效果。方法采用回顾性分析的方法,选取我院2012年1月~2013年12月期间收治的90例蛛网膜下腔出血的患者,分为单纯药物组(n =34)、栓塞术组(n =30)及栓塞术+置换术组(n =26)。对比3组患者的脑脊液恢复时间、疼痛时间、颈项强直时间、住院时间、疗效及并发症出现情况。结果在脑脊液恢复时间、疼痛时间、颈项强直时间、住院时间及疗效的对比上,3组患者差异有统计学意义(P <0.05或 P <0.001),栓塞术+置换术组显著优于另两组,差异有统计学意义(P <0.05或 P <0.01)；且栓塞术+置换术组患者并发症发生率明显低于其他两组,差异有统计学意义(P <0.05)。结论动脉瘤栓塞术联合脑脊液置换术是一种安全且有效的方法,值得临床进一步推广使用。
목적：탐토동맥류전새、뇌척액치환연합치료주망막하강출혈환자적림상효과。방법채용회고성분석적방법,선취아원2012년1월~2013년12월기간수치적90례주망막하강출혈적환자,분위단순약물조(n =34)、전새술조(n =30)급전새술+치환술조(n =26)。대비3조환자적뇌척액회복시간、동통시간、경항강직시간、주원시간、료효급병발증출현정황。결과재뇌척액회복시간、동통시간、경항강직시간、주원시간급료효적대비상,3조환자차이유통계학의의(P <0.05혹 P <0.001),전새술+치환술조현저우우령량조,차이유통계학의의(P <0.05혹 P <0.01)；차전새술+치환술조환자병발증발생솔명현저우기타량조,차이유통계학의의(P <0.05)。결론동맥류전새술연합뇌척액치환술시일충안전차유효적방법,치득림상진일보추엄사용。
Objective To explore the clinical efficacy of aneurysm embolization combined cerebrospinal fluid replacement for treatment of patients with subarachnoid hemorrhage. Methods Using a retrospective a-nalysis,90 cases of patients with subarachnoid hemorrhage cared at our hospital from January 2012 to Decem-ber 2013 were randomly divided into drug group (n =34),embolization group (n =30)and embolization com-bined with replacement group (n =26).The cerebrospinal fluid recovery time,pain time,neck stiffness time, hospitalization time,curative efficacy and complications were observed in the three groups. Results There were statistically significant differences among the 3 groups (P <0.05 or P <0.001)by comparing of cerebro-spinal fluid recovery time,pain time,neck stiffness time,hospitalization time and the curative efficacy,and the outcomes for embolization combined with replacement group were statistically superior to the other two groups (P <0.05 or P <0.01).The incidence of complications for the embolization combined replacement group was obviously lower than the other two groups and the comparison showed statistically significant difference (P <0.05). Conclusion The results suggested that aneurysm embolization combined with cerebrospinal fluid re-placement is a safe and effective management strategy for subarachnoid hemorrhage,worthy of further applica-tion in clinical practice.