腰大池脑脊液持续引流治疗对蛛网膜下腔出血的预后分析

目的 观察腰大池脑脊液持续引流治疗对蛛网膜下腔出血(SAH)的预后影响.方法 将SAH患者92例随机分为对照组和脑脊液持续引流组,对照组使用常规治疗,治疗组在常规治疗的前提下加用腰大池脑脊液引流治疗结果治疗组病人发生脑梗死、死亡率较对照组低(P＜0.05),两组再出血发生率无明显差异(P＞0.05),出院时采用GOS评价.结果 显示两组间有明显差异(P＜0.05).结论 腰大池脑脊液持续引流治疗SAH的疗效肯定,能改善患者预后,减少并发症的发生.

Analysis of continuous lumbar drainage of cerebrospinal fluid in patients with subarachnoid hemorrhage on the prognosis

Objective To study the effects of continous lumbar drainage of cerebrospinal fluid in patients with subarachnoid hemorrhage(SAH)on the prognosis.Methods 92 SAH patients were randomly divided into two groups:control group(48)with conventional theraphy and treatment group with conventional theraphy and continous lumbar CSF drainage by remaining a tube after lumbar puncture.Results The incidence rate of brain infarction and death in the treatment group was obviously lower than those of control group(P<0.05).There was no significantly difference in the incidence rate of re-bleeding between the two groups(P>0.05),but significant different in Glasgow-outcome scale(GOS)bwtween the two groups when leaving the hospital(P<0.05).Conclusion continous lumbar drainage of cerebrospinal fluid in patients with subarachnoid hemorrhage is not only of confirmative effect in the treanment,but also improve the prognosis and decrease the complications of the patient.