摘要
目的分析可调压腰大池-腹腔分流术治疗对老年性脑出血后脑积水患者并发症和预后的影响。方法选取2014年10月至2016年10月期间在我院就诊的交通性老年性脑出血后脑积水患者94例为研究对象,按抽签法随机分为试验组(采用可调压腰大池-腹腔分流术)和对照组(采用常规侧脑室-腹腔分流术),各47例,观察记录患者术中、术后出现的并发症和预后,采用SPSS20.0统计学软件进行分析。结果 (1)试验组的总有效高于对照组[42(89.36%)VS 30(63.83%)],两组之间比较有统计学差异(P<0.05)。(2)试验组的并发症发生数低于对照组,两组之间比较有统计学差异(P<0.05)。(3)试验组的ADL量表评级高于对照组,两组之间比较有统计学差异(P<0.05)。结论可调压腰大池-腹腔分流术能降低老年性脑出血后脑积水患者并发症的发生数,改善患者的生活质量,值得推广应用。
Objective To investigate the effect of lumbar pacing and peritoneal shunt on the complications and prognosis of patients with hydrocephalus after cerebral hemorrhage. Methods 94 patients with traffic hydrocephalus in aged patients with cerebral hemorrhage from October 2014 to October 2016,which were randomly divided into two groups： control group（ adjustable lumbar cistern-peritoneal shunt）,And the control group（ using conventional lateral ventricle-peritoneal shunt）,47 cases were observed in patients with intraoperative and postoperative complications and prognosis,the use of SPSS20. 0 statistical software for analysis. Results（1）The total effective rate in the experimental group was higher than the control group [42（ 89. 36%） vs 30（ 63. 83%） ]. There was significant difference between the two groups（ P 0. 05）.（2）The number of complications in the trial group was lower than the control group. There was significant difference between the two groups（ P 0. 05）.（3）The ADL scale of the test group was higher than the control group. There was significant difference between the two groups（ P 0. 05）. Conclusion Adjustable lumbar cistern-peritoneal shunt can reduce the number of complications and improve the quality of life of patients with hydrocephalus after cerebral hemorrhage. It is worthy of popularization and application.
出处
《立体定向和功能性神经外科杂志》
2017年第2期100-104,共5页
Chinese Journal of Stereotactic and Functional Neurosurgery
关键词
可调压腰大池-腹腔分流术
老年性脑出血后脑积水
并发症
预后
Adjustable lumbar cisterna-peritoneal shunt
Hydrocephalus after cerebral hemor rhage in the aged
Complications
Prognosis
