目的 分析持续腰大池引流术用于动脉瘤破裂后引起蛛网膜下腔出血中的治疗效果.方法 非随机选取2020年1月—2023年6月兴义市人民医院神经外科收治的100例动脉瘤破裂后引起蛛网膜下腔出血的患者为研究对象.按治疗方式不同分为两组,每组50例.对照组行常规腰椎穿刺引流术,研究组行持续腰大池引流术治疗.比较两组治疗效果、脑血管痉挛、颅内感染情况、格拉斯哥昏迷评分(Glasgow Coma Scale,GCS)、改良Rankin量表评分.结果 研究组总有效率为96.00%(48/50),高于对照组的80.00%(40/50),差异有统计学意义(χ2=4.640,P<0.05).研究组术后脑血管痉挛、颅内感染发生率低于对照组,差异有统计学意义(P均<0.05).术后,研究组GCS评分高于对照组,改良Rankin量表评分低于对照组,差异有统计学意义(P均<0.05).结论 持续腰大池引流术治疗方案可以提升整体治疗效果,减少颅内感染及脑血管痉挛情况,缓解患者病情.
Analysis of Clinical Effect of Continuous Lumbar Cistern Drainage on Subarachnoid Hemorrhage Caused by Aneurysm Rupture
Objective To analyze the therapeutic efficacy of continuous lumbar big-pool drainage in subarachnoid hemorrhage caused by ruptured aneurysms.Methods A total of 100 patients with subarachnoid hemorrhage caused by ruptured aneurysm admitted to the neurosurgery department of Xingyi People's Hospital from January 2020 to June 2023 were non-randomly selected as study subjects.They were divided into two groups according to different treat-ment modalities,with fifty cases in each group.The control group was treated with routine lumbar puncture and drain-age,and the study group was treated with continuous lumbar large pool drainage.The treatment effect,intracranial,ce-rebral vasospasm,infection,Glasgow Coma Scale(GCS),and modified Rankin Scale score were compared between the two groups.Results The total effective rate of the study group was 96.00% (48/50),which was higher than 80.00%(40/50)of the control group,and the difference was statistically significant(χ2=4.640,P<0.05).The incidences of postop-erative cerebral vasospasm and intracranial infection in the study group were lower than those in the control group,and the differences were statistically significant(both P<0.05).Postoperatively,the GCS score of the study group was higher than that of the control group,and the modified Rankin scale scores were lower than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion The continuous lumbar pool drainage treat-ment program enhances the overall therapeutic effect,reduces intracranial infections and cerebral vasospasm condi-tions,and relieves the patient's condition.
万方数据
维普
