摘要
目的:探讨腰大池持续引流辅助治疗重型脑外伤的临床效果。方法:选取我科2011年2月至2012年7月间收治的重型颅脑外伤患者152例,随机分为治疗组80例,对照组72例,治疗组在常规降低颅内压治疗的基础了上加用腰大池持续引流辅助治疗,对照组只采用常规降低颅内压治疗,对比两组患者治疗效果、并发症发生情况及治疗后SF-36评分。结果:治疗组治疗后GCS评分、并发症发生率、治疗效果及治疗后SF-36评分均优于对照组,组间比较差异显著(P<0.05)。结论:腰大池持续引流辅助治疗重型脑外伤,疗效满意,创伤小,可有效改善患者预后,提高疗效。
Objective： To discuss the clinical efficacy of continued lumbar cerebrospinal fluid drainage （ CLCFD ） in adjuvant treatment of severe cerebral trauma. Method： A total of 152 patients with severe cer- ebral trauma admitted to our department from February 2011 to July 2012 were chosen and divided into treat- ment group （ n = 80 ） and control group （ n = 72 ） randomly. Patients in treatment group received adjuvant CLCFD on the basis of routine intracranial pressure lowering treatment, while control group only adopted rou- tine intracranial pressure lowering treatment. Therapeutic effects, the occurrences of complications and post- surgery SF-36 scoring of two groups were observed for comparison. Result： After treatment, treatment group was better than control group in GCS scoring, complication occurrence rate, therapeutic effects and post-sur- gery SF-36 scoring. There＇s statistical significance difference （P〈0.05）. Conclusion： CLCFD has satisfy- ing efficacy and small trauma in adjuvant treatment of severe cerebral trauma. It can improve the prognosis for patients and enhance therapeutic effects.
出处
《河北医学》
CAS
2013年第2期221-224,共4页
Hebei Medicine
关键词
脑外伤
腰大池持续引流
重型
Cerebral trauma
Continued lumbar cerebrospinal fluid drainage
Severe
