现代中西医结合杂志
現代中西醫結閤雜誌
현대중서의결합잡지
Modern Journal of Integrated Traditional Chinese and Western Medicine
2015年
29期
3219-3221
,共3页
脑室-腹腔分流术%通窍活血利水法%脑积水%儿童
腦室-腹腔分流術%通纖活血利水法%腦積水%兒童
뇌실-복강분류술%통규활혈이수법%뇌적수%인동
ventriculo peritoneal shunt%Tongqiao Huoxue Lishui method%hydrocephalus%child
目的 评价脑室-腹腔分流术( VPS)联合通窍活血利水法治疗小儿脑积水的临床疗效及安全性. 方法 将80例脑积水患儿随机分为治疗组与对照组各40例,2组均行脑室-腹腔分流术治疗,治疗组在此基础上于术前1周加用自拟活血通络方治疗,手术当日停药,待术后可流质饮食后继续服用直至术后4周. 比较2组临床疗效及相关并发症发生情况. 结果 治疗组临床疗效明显好于对照组( P<0.05);2组除头围愈显率比较差异无统计学意义外,语言发育、运动发育、惊厥、恶心、精神萎靡、面色晦暗症状愈显率治疗组均明显高于对照组(P均<0.05);治疗组术后发生腹腔感染1例、分流管阻塞1例,对照组发生腹腔感染2例、分流管阻塞1例,2组比较差异无统计学意义;2组均无低颅压综合征、脏器穿孔等发生. 结论 脑室-腹腔分流术联合通窍活血利水法治疗小儿脑积水可明显提高手术效果,改善临床症状,且并发症少,值得临床推广应用.
目的 評價腦室-腹腔分流術( VPS)聯閤通纖活血利水法治療小兒腦積水的臨床療效及安全性. 方法 將80例腦積水患兒隨機分為治療組與對照組各40例,2組均行腦室-腹腔分流術治療,治療組在此基礎上于術前1週加用自擬活血通絡方治療,手術噹日停藥,待術後可流質飲食後繼續服用直至術後4週. 比較2組臨床療效及相關併髮癥髮生情況. 結果 治療組臨床療效明顯好于對照組( P<0.05);2組除頭圍愈顯率比較差異無統計學意義外,語言髮育、運動髮育、驚厥、噁心、精神萎靡、麵色晦暗癥狀愈顯率治療組均明顯高于對照組(P均<0.05);治療組術後髮生腹腔感染1例、分流管阻塞1例,對照組髮生腹腔感染2例、分流管阻塞1例,2組比較差異無統計學意義;2組均無低顱壓綜閤徵、髒器穿孔等髮生. 結論 腦室-腹腔分流術聯閤通纖活血利水法治療小兒腦積水可明顯提高手術效果,改善臨床癥狀,且併髮癥少,值得臨床推廣應用.
목적 평개뇌실-복강분류술( VPS)연합통규활혈이수법치료소인뇌적수적림상료효급안전성. 방법 장80례뇌적수환인수궤분위치료조여대조조각40례,2조균행뇌실-복강분류술치료,치료조재차기출상우술전1주가용자의활혈통락방치료,수술당일정약,대술후가류질음식후계속복용직지술후4주. 비교2조림상료효급상관병발증발생정황. 결과 치료조림상료효명현호우대조조( P<0.05);2조제두위유현솔비교차이무통계학의의외,어언발육、운동발육、량궐、악심、정신위미、면색회암증상유현솔치료조균명현고우대조조(P균<0.05);치료조술후발생복강감염1례、분류관조새1례,대조조발생복강감염2례、분류관조새1례,2조비교차이무통계학의의;2조균무저로압종합정、장기천공등발생. 결론 뇌실-복강분류술연합통규활혈이수법치료소인뇌적수가명현제고수술효과,개선림상증상,차병발증소,치득림상추엄응용.
Objective It is to evaluate the clinical effect and safety of ventriculo peritoneal shunt combined with Tongqiao Huoxue Lishui method for pediatric hydrocephalus.Methods 80 children with hydrocephalus were randomly divided into treat-ment group and control group with 40 cases in each group.Both the groups were treated with ventriculo peritoneal shunt, and the treatment group was added with self-made Huoxue Tongluo decoction at one week before operation, the decoction was stopped on the operative day, and continued when the patients could have liquid diet, and the treatment lasted for four weeks after operation.The clinical curative effect and correlated complications between the two groups were compared.Results The curative effect of treatment group was much better than that in the control group (P<0.05), all the healing rates of symptoms and signs, such as development of language and movement, convulsions, nausea, low spirits and blakish complexion except head width were higher in treatment group than those in control group ( all P<0.05);there were one case with peritoneal cav-ity infection, on case with shunt tube obstruction in treatment group, two case with peritoneal cavity infection, on case with shunt tube obstruction in control group, the differences between the two groups were not significant;no one with hypotension syndrome or viscera perforation was found in both groups.Conclusion Ventriculo peritoneal shunt combined with Tongqiao Huoxue Lishui method can significantly improve the effect of operation and clinical symptoms with less complications in the treatment for pediatric hydrocephalus.
