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目的:探讨腰大池脑脊液持续外引流治疗蛛网膜下腔出血(SAH)的疗效。方法:对116例蛛网膜下腔出血患者随机为试验组和对照组,对照组采用每天性腰椎穿刺术放脑脊液,试验组常规治疗外,应用18G硬膜外导管早期持续腰大池引流脑脊液置换疗法,对两组治疗方法的治疗效果进行比较作统计学分数。结果:试验组在意识障碍恢复时间,血性脑脊液转清时间,颅内压下降至正常的时间、减少并发症方面有显著差异。结论:早期腰大池持续外引流较常规腰椎穿刺术方法疗效好。
Objective: To investigate the effect of continuous external drainage of cerebrospinal fluid in lumbar cistern in the treatment of subarachnoid hemorrhage (SAH). Methods: One hundred and sixteen patients with subarachnoid hemorrhage were randomly divided into experimental group and control group. The control group was treated with daily lumbar puncture and cerebrospinal fluid replacement. In the experimental group, 18G epidural catheter was used to continue drainage of cerebrospinal fluid , The treatment effect of two treatment methods were compared for statistical scores. Results: There was a significant difference in the recovery time of consciousness, serum clearing time of CSF, reduction of intracranial pressure to normal time and reduction of complications in the experimental group. Conclusion: The continuous lumbar drainage is more effective than conventional lumbar puncture.