| 连续腰椎穿刺引流在动脉瘤性蛛网膜下腔出血栓塞术后的作用 |
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| 引用本文： | 管萍,李荣华,杨小华. 连续腰椎穿刺引流在动脉瘤性蛛网膜下腔出血栓塞术后的作用[J]. 江苏临床医学杂志, 2014, 0(24): 16-18 |
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| 作者姓名： | 管萍 李荣华 杨小华 |
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| 作者单位： | 湖北省天门市第一人民医院神经内科,湖北天门431700 |
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| 基金项目： | 中国高校医学期刊临床专项资金（11321461） |
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| 摘 要： | 目的探讨连续腰椎穿刺引流对动脉瘤性蛛网膜下腔出血（a SAH）患者血管栓塞治疗后的作用。方法 42例a SAH患者接受颅内动脉栓塞治疗后,根据是否采取连续腰椎穿刺分为观察组20人和对照组22人。观察2组患者迟发性缺血性神经功能缺陷（DIDN）、头痛缓解和Rankin评分差异。结果观察组患者头痛缓解天数短于对照组（P〈0.05）;治疗期内,观察组患者DIDN发生率低于对照组（P〈00.05）,14 d时Rankin评分低于对照组（P〈0.05）。结论 a SAH患者栓塞治疗后行早期连续腰椎穿刺引流,能降低DIND发生风险,促进神经和认知功能早期恢复。
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| 关 键 词： | 动脉瘤 蛛网膜下腔出血 脑脊液 腰椎穿刺 引流 |
Effect of consecutive lumbar puncture on aneurysmal subarachnoid hemorrhage after embolization |
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| GUAN Ping,LI Ronghua,YANG Xiaohua. Effect of consecutive lumbar puncture on aneurysmal subarachnoid hemorrhage after embolization[J]. Journal of Jiangsu Clinical Medicine, 2014, 0(24): 16-18 |
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| Authors: | GUAN Ping LI Ronghua YANG Xiaohua |
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| Affiliation: | ( Department of Neurology, Tianmen First People＇s Hospital, Tianmen, Hubei, 431700) |
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| Abstract: | Objective To explore the effect of consecutive lumbar puncture on aneurysmal subarachnoid hemorrhage after embolization. Methods 42 patients with aneurysmal subarachnoid hemorrhage （aSAH） were divided into observation group （n = 20） and control group （n = 22） ac- cording to performance of continuous lumbar puncture. Delayed ischemic neurological functional de- fect （DIDN）, headache and Rankin score were observed. Results There were significant differ- ences between the observation group and the control group in time of headache relief, occurrence rate of DIDN and Rankin score 14 days after treatment （P 〈 0.05）. Conclusion Early continuous lumbar puncture after treatment of intracranial arterial embolization can reduce the risk of DIND and promote the recovery of neural and cognitive function. |
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| Keywords: | arterial aneurysm subarachnoid hemorrhage cerebrospinal fluid lumbarpuncture drainage |
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