早期持续腰大池引流对于脑外伤合并蛛网膜下腔出血的疗效观察

目的观察脑外伤合并蛛网膜下腔出血患者行早期持续腰大池引流的临床疗效。方法将183例脑外伤合并蛛网膜下腔出血患者随机分为2组,A组(n=92)接受早期持续腰大池引流术治疗,B组(n=91)接受每日腰穿术放脑脊液治疗。比较2组患者疗效及预后。结果 A组每日脑脊液引流量显著多于B组,而脑脊液压力复常时间、转清时间以及临床症状持续时间显著短于B组。A组总并发症发生率、脑积水及癫痫发生率均显著低于B组。2组患者无植物状态和死亡病例,A组预后良好率显著高于B组,而预后不良率显著低于B组。结论早期持续腰大池引流治疗脑外伤合并蛛网膜下腔出血患者可以有效缓解临床症状,改善预后。

Effect observation of early continuous lumbar drainage on treatment of cerebral traumatic subarachnoid hemorrhage

Objective To observe the clinical effect of early continuous lumbar drainage in treatment of cerebral traumatic subarachnoid hemorrhage.Methods 183 patients with cerebral traumatic subarachnoid hemorrhage were randomly divided into 2 groups.Group A(n=92) received early continuous lumbar drainage,while group B(n=91) received daily lumbar puncture cerebrospinal fluid drainage.Efficacy and prognosis were compared between 2 groups.Results The drainage amount of cerebrospinal fluid in group A was obviously larger than group B,and normalization time of cerebrospinal fluid pressure,clearness time and duration of clinical symptoms in group A were obviously shorter than group B.Incidence of total complication,hydrocephalus and epilepsia in group A were obviously lower than group B.There was no case of vegetative state or death.The well prognosis rate in group A was obviously higher than group B,while unhealthy prognosis rate was obviously lower.Conclusion Early continuous lumbar drainage for treating cerebral traumatic subarachnoid hemorrhage can effectively alleviate the clinical symptoms and improve prognosis.