临床医药文献电子杂志
臨床醫藥文獻電子雜誌
림상의약문헌전자잡지
Journal of Clinical Medical Literature (ElectronicEdition)
2015年
27期
5579-5580
,共2页
脑室出血%腰大池引流术%脑脊液%脑血管痉挛
腦室齣血%腰大池引流術%腦脊液%腦血管痙攣
뇌실출혈%요대지인류술%뇌척액%뇌혈관경련
Cerebral hemorrhage%Lumbar cistern drainage%Cerebrospinal fl uid%Cerebral vasospasm
目的：探讨腰大池引流术在脑室系统出血治疗中的临床意义及可能机制。方法选取2011年03月～2014年10月我院手术治疗的符合第4届全国脑血管病学术会议制定的脑出血诊断标准的患者51例作为研究对象，按入院单双日顺序分为腰大池引流组30例（腰大池引流术治疗）和腰穿治疗组21例（常规腰穿或者脑脊液置换术治疗）；治疗后对比两组患者的脑脊液转清时间，脑血管痉挛的发生例数、出院时格拉斯哥预后评分（GOS）及死亡率。结果腰大池引流组患者脑脊液转清时间、脑血管痉挛的发生例数、格拉斯哥预后评分及死亡率与腰穿治疗组对比，差异有统计学意义（P＜0.05），腰大池引流组优于腰穿治疗组，差异有统计学意义（P＜0.05）。结论腰大池引流术是近年来神经科新开展的最有效的治疗方法，微创、闭式、稳压、充分、持续微量引流脑脊液，其机理可能是快速廓清血性脑脊液和降低颅内压。
目的：探討腰大池引流術在腦室繫統齣血治療中的臨床意義及可能機製。方法選取2011年03月～2014年10月我院手術治療的符閤第4屆全國腦血管病學術會議製定的腦齣血診斷標準的患者51例作為研究對象，按入院單雙日順序分為腰大池引流組30例（腰大池引流術治療）和腰穿治療組21例（常規腰穿或者腦脊液置換術治療）；治療後對比兩組患者的腦脊液轉清時間，腦血管痙攣的髮生例數、齣院時格拉斯哥預後評分（GOS）及死亡率。結果腰大池引流組患者腦脊液轉清時間、腦血管痙攣的髮生例數、格拉斯哥預後評分及死亡率與腰穿治療組對比，差異有統計學意義（P＜0.05），腰大池引流組優于腰穿治療組，差異有統計學意義（P＜0.05）。結論腰大池引流術是近年來神經科新開展的最有效的治療方法，微創、閉式、穩壓、充分、持續微量引流腦脊液，其機理可能是快速廓清血性腦脊液和降低顱內壓。
목적：탐토요대지인류술재뇌실계통출혈치료중적림상의의급가능궤제。방법선취2011년03월～2014년10월아원수술치료적부합제4계전국뇌혈관병학술회의제정적뇌출혈진단표준적환자51례작위연구대상，안입원단쌍일순서분위요대지인류조30례（요대지인류술치료）화요천치료조21례（상규요천혹자뇌척액치환술치료）；치료후대비량조환자적뇌척액전청시간，뇌혈관경련적발생례수、출원시격랍사가예후평분（GOS）급사망솔。결과요대지인류조환자뇌척액전청시간、뇌혈관경련적발생례수、격랍사가예후평분급사망솔여요천치료조대비，차이유통계학의의（P＜0.05），요대지인류조우우요천치료조，차이유통계학의의（P＜0.05）。결론요대지인류술시근년래신경과신개전적최유효적치료방법，미창、폐식、은압、충분、지속미량인류뇌척액，기궤리가능시쾌속곽청혈성뇌척액화강저로내압。
ObjectiveIn order to investigate the sgnifi cance of Cerebrospinal fl uid drainage in the treatment of Ventricular hemorrhage.MethodsSelected in March 2011 to treated in our hospital in October 2014 conforms to the 4th National cerebrovascular disease Academic Conference on the development of cerebral hemorrhage diagnosis standard of 51 cases of patients as the research object,according to the order of admission single Sojitz points for lumbar cistern drainage group(n=30) (lumbar cistern drainage in the treatment of) and waist wear treatment group, 21 cases (routine lumbar puncture and cerebrospinal fluid replacement therapy); after treatment,compared two groups of cerebrospinal fl uid turned clear time, cerebral vasospasm occurred cases, discharge the Glasgow Outcome Score (GOS) and mortality.Results Of lumbar cistern drainage of cerebrospinal fl uid (CSF) in patients with clear time,cerebral vasospasm occurred cases,Glasgow Outcome Score and mortality associated with lumbar puncture in the treatment group compared,the difference was statistically significant(P<0.05),lumbar cistern drainage group was better than that of lumbar puncture in the treatment group, the difference is statistically signifi cant(P<0.05). ConclusionCerebrospinal fluid drainage is a new development most effective treatment method of Neurology in recent years, which can drainage Cerebro-Spinal Fluid by the methods of minimally invasive, closed, Stable, fully, continuous trace; The Mechanism maybe rapid clearance of bloody cerebrospinal fl uid and reduce the intracranial pressure.
