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目的探讨适量置换脑脊液治疗蛛网膜下腔出血的临床疗效。方法选取本院于2010年10月至2012年12月收治的蛛网膜下腔出血患者80例,随机分为治疗组(脑脊液置换)和对照组(常规治疗),对比分析两组患者的临床疗效。结果治疗组治愈21例,显效11例,有效6例,无效2例,总有效率95%;对照组治愈13例,显效9例,有效10例,无效8例,总有效率80%。治疗组总有效率明显高于对照组(P<0.05),常规治疗加适量置换脑脊液的临床疗效明显优于单纯采用常规治疗。结论适量置换脑脊液治疗蛛网膜下腔出血疗效显著,操作简便易行,可有效地降低并发症发病率及死亡率,对患者预后有积极有效作用。
Objective To investigate the effect of replacement of cerebrospinal fluid (CSF) with subarachnoid hemorrhage. Methods Eighty patients with subarachnoid hemorrhage who were treated in our hospital from October 2010 to December 2012 were randomly divided into treatment group (CSF replacement) and control group (conventional treatment), and the clinical efficacy of the two groups were compared . Results In the treatment group, 21 cases were cured, 11 cases were markedly effective, 6 cases were effective and 2 cases were ineffective. The total effective rate was 95%. In the control group, 13 cases were cured, 9 cases markedly effective, 10 effective and 8 ineffective. The total effective rate was 80%. The total effective rate in the treatment group was significantly higher than that in the control group (P <0.05). The curative effect of conventional therapy plus moderate replacement cerebrospinal fluid was obviously better than that of the conventional treatment alone. Conclusion Appropriate replacement of cerebrospinal fluid in the treatment of subarachnoid hemorrhage has obvious curative effect and is easy to operate. It can effectively reduce the morbidity and mortality of complications and has a positive and effective effect on the prognosis of patients.