CAJ | 학술논문

目的：探讨蛛网膜下腔出血颅内动脉瘤栓塞术后脑脊液置换治疗的临床疗效及护理效果。方法回顾分析本院2008年1月至2012年3月期间的收治的102例蛛网膜下腔出血颅内动脉瘤栓塞术后患者。其中治疗组50例，对照组52例，两组均栓塞术后予常规治疗，治疗组在动脉瘤栓塞基础上，给予早期脑脊液置换方案。结果两组患者头痛、颈强直、脑积水、脑血管痉挛等并发症及治疗效果、平均住院日经比较差异均有统计学意义(P<0.05)，治疗组疗效显著优于对照组。结论蛛网膜下腔出血颅内动脉瘤栓塞术后患者早期行脑脊液置换治疗，能够明显改善临床症状，减少并发症的发生，同时缩短平均住院日，辅以精心细致的护理可大大提高患者治愈率及生活质量，值得临床推广应用。
목적：탐토주망막하강출혈로내동맥류전새술후뇌척액치환치료적림상료효급호리효과。방법회고분석본원2008년1월지2012년3월기간적수치적102례주망막하강출혈로내동맥류전새술후환자。기중치료조50례，대조조52례，량조균전새술후여상규치료，치료조재동맥류전새기출상，급여조기뇌척액치환방안。결과량조환자두통、경강직、뇌적수、뇌혈관경련등병발증급치료효과、평균주원일경비교차이균유통계학의의(P<0.05)，치료조료효현저우우대조조。결론주망막하강출혈로내동맥류전새술후환자조기행뇌척액치환치료，능구명현개선림상증상，감소병발증적발생，동시축단평균주원일，보이정심세치적호리가대대제고환자치유솔급생활질량，치득림상추엄응용。
Objective To observe the effect of clinical curative effect of cerebrospinal fluid replacement thera-py on the subarachnoid hemorrhage ( SAH) patients with intracranial aneurysm embolization and nursing countermeas-ures. Methods The data of inpatients diagnosed of SAH were collected in the Second Hospital of Dalian Medical Uni-versity from January 2008 to March 2012. 102 cases of subarachnoid hemorrhage patients with intracranial aneurysm em-bolization were divided into two groups: cerebrospinal fluid replacement group ( n=50 ) and the control group ( n=52) . Results In cerebrospinal fluid replacement group, the complications such as headache, stiff neck, hydroceph-alus and cerebral vasospasm, the average hospitalization days were less than those in the control group (P<0. 05) . The curative effect in the treatment group was better than that in control group. Conclusions Early cerebrospinal fluid re-placement after intracranial aneurysm embolization in SAH patients can improve clinical symptoms, reduce the incidence of complications and shorten the average hospitalization days with meticulous care, improve the cure rate and quality of life, the cerebrospinal fluid replacement is worthy of clinical application.