中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
12期
15-17
,共3页
颅脑损伤%蛛网膜下腔出血%持续腰大池引流术引流%格拉斯哥昏迷评分
顱腦損傷%蛛網膜下腔齣血%持續腰大池引流術引流%格拉斯哥昏迷評分
로뇌손상%주망막하강출혈%지속요대지인류술인류%격랍사가혼미평분
Craniocerebral injury%Subarachnoid hemorrhage%Continuous lumbar cistern drainage drainage%Glasgow coma score
目的：探讨持续腰大池引流术引流与多次腰椎穿刺术引流治疗重型颅脑损伤合并蛛网膜下腔出血的效果。方法随机选取入医院治疗的重型颅脑损伤合并蛛网膜下腔出血患者70例作为研究对象，采用数字随机法将患者分为对照组和观察组，对照组行多次腰椎穿刺术引流治疗，观察组采用持续腰大池引流术引流治疗，行格拉斯哥昏迷评分(GCS)、格拉斯哥预后评分(GOS)，记录脑脊液红细胞计数低于100×106/L的时间，观察术后1个月内并发症发生率。结果观察组治疗后GCS为(12.52±1.51)分显著高于对照组，脑脊液红细胞约100×106/L时间为(7.24±1.53)d显著短于对照组，差异有统计学意义(P<0.05)。观察组治疗后1个月内癫痫、脑积水、脑梗死的发病率分别为0.0%、5.71%、2.86%显著低于对照组11.43%、22.86%、22.86%，差异有统计学意义(P<0.05)。观察组良好率为57.14%明显高于对照组31.43%，死亡率为0.0%明显低于对照组14.29%，差异有统计学意义(P<0.05)。结论持续腰大池引流术引流能够缩短引流时间，降低术后并发症发生率，可改善患者预后。
目的：探討持續腰大池引流術引流與多次腰椎穿刺術引流治療重型顱腦損傷閤併蛛網膜下腔齣血的效果。方法隨機選取入醫院治療的重型顱腦損傷閤併蛛網膜下腔齣血患者70例作為研究對象，採用數字隨機法將患者分為對照組和觀察組，對照組行多次腰椎穿刺術引流治療，觀察組採用持續腰大池引流術引流治療，行格拉斯哥昏迷評分(GCS)、格拉斯哥預後評分(GOS)，記錄腦脊液紅細胞計數低于100×106/L的時間，觀察術後1箇月內併髮癥髮生率。結果觀察組治療後GCS為(12.52±1.51)分顯著高于對照組，腦脊液紅細胞約100×106/L時間為(7.24±1.53)d顯著短于對照組，差異有統計學意義(P<0.05)。觀察組治療後1箇月內癲癇、腦積水、腦梗死的髮病率分彆為0.0%、5.71%、2.86%顯著低于對照組11.43%、22.86%、22.86%，差異有統計學意義(P<0.05)。觀察組良好率為57.14%明顯高于對照組31.43%，死亡率為0.0%明顯低于對照組14.29%，差異有統計學意義(P<0.05)。結論持續腰大池引流術引流能夠縮短引流時間，降低術後併髮癥髮生率，可改善患者預後。
목적：탐토지속요대지인류술인류여다차요추천자술인류치료중형로뇌손상합병주망막하강출혈적효과。방법수궤선취입의원치료적중형로뇌손상합병주망막하강출혈환자70례작위연구대상，채용수자수궤법장환자분위대조조화관찰조，대조조행다차요추천자술인류치료，관찰조채용지속요대지인류술인류치료，행격랍사가혼미평분(GCS)、격랍사가예후평분(GOS)，기록뇌척액홍세포계수저우100×106/L적시간，관찰술후1개월내병발증발생솔。결과관찰조치료후GCS위(12.52±1.51)분현저고우대조조，뇌척액홍세포약100×106/L시간위(7.24±1.53)d현저단우대조조，차이유통계학의의(P<0.05)。관찰조치료후1개월내전간、뇌적수、뇌경사적발병솔분별위0.0%、5.71%、2.86%현저저우대조조11.43%、22.86%、22.86%，차이유통계학의의(P<0.05)。관찰조량호솔위57.14%명현고우대조조31.43%，사망솔위0.0%명현저우대조조14.29%，차이유통계학의의(P<0.05)。결론지속요대지인류술인류능구축단인류시간，강저술후병발증발생솔，가개선환자예후。
Objective To study the effect of the continuous lumbar cistern drainage and drainage with lumbar puncture and drainage in the treatment of multiple injury complicated with subarachnoid hemorrhage and severe craniocerebral. Methods Se-lected combined subarachnoid hemorrhage in 70 cases as the object of study into the hospital for treatment of severe craniocerebral injury, by using randomly were divided into the observation group and the control group, the control group underwent repeated lumbar puncture drainage treatment, the observation group with continuous lumbar cistern drainage drainage treatment, for Glasgow coma score (GCS), Glasgow Outcome Scale (GOS), recording the cerebrospinal fluid red blood cell count of less than 100í106/L time, observed the rate of complications within 1 month. Results In observation group after treatment, GCS(12.52±1.51)was signifi-cantly lower than that of the control group, CSF erythrocyte<100í106/L time was (7.24±1.53)days, which was significantly shorter than the control group, the difference was statistically significant (P<0.05). Observation of 1 months of epilepsy, hydrocephalus, cerebral infarction group after treatment, the incidence rates were 0%, 5.71%, 2.86%, which were significantly lower than the con-trol group 11.43%, 22.86%, 22.86%, the differences were statistically significant (P<0.05). Good rate was 57.14% in observation group was significantly higher than the control group 31.43%, mortality of 0%was lower than that of the control group 14.29%, the difference was statistically significant (P<0.05). Conclusion Continuous lumbar cistern drainage drainage can shorten the drainage time, reduce the incidence of postoperative complications, which can improve the prognosis of the patients.
