摘要
目的探讨动脉瘤性蛛网膜下腔出血术后行腰椎穿刺术预防慢性脑积水的临床效果。方法选取我院2015-1-2016-12收治的动脉瘤性脑出血患者60例为研究对象,比较两组患者慢性脑积水发生率、头痛缓解率,发生慢性脑积水患者与未发生脑积水患者脑脊液中LPA含量。结果观察组患者慢性脑积水发生率为13.3%,头痛缓解率为76.7%,显著优于对照组33.3%和56.7%(P<0.05),发生与未发生脑积水患者3d脑脊液中LPA含量无统计学差异(P>0.05),而术后7d、14d差异具有统计学意义(P<0.05)。结论动脉瘤性蛛网膜下腔出血术后行腰椎穿刺引流脑脊液可有效降低慢性脑积水发生率,缓解患者头痛的临床症状,有利于患者改善预后。
OBJECTIVE to evaluate the line after surgery for aneurysmal subarachnoid hemorrhage clinical effect of lumbar puncture to prevent chronic hydrocephalus;METHODS Select our hospital in January 2015 to December 2016 aneurysms in patients with cerebral hemorrhage were 60 cases as the research object,compared two groups of patients with chronic hydrocephalus,headache response rate,incidence of chronic hydrocephalus patients with hydrocephalus in patients with LPA content in the cerebrospinal fluid;RESULTS The observation group of patients with chronic hydrocephalus rate was 13.3%,headache relief rate was 76.7%,significantly better than the control group were 33.3% and 56.7%(P<0.05),and three days without hydrocephalus patients LPA content in the cerebrospinal fluid no statistical difference(P>0.05),and 7days after operation,14 days statistically significant difference(P<0.05);CONCLUSIONS Iumbar puncture drainage after surgery for aneurysmal subarachnoid hemorrhage cerebrospinal fluid can effectively reduce the incidence of chronic hydrocephalus,alleviate the clinical symptoms of patients with headache,is helpful to improve prognosis.
作者
肖维坤
孙金玉
XIAO Wei-kun;SUN Jin-yu(Tangshan Fengnan District Hospita,Tangshan 063300,P.R.China;Tangshan Fengnan District Maternal and Child Hospital,Tangshan 063300,P.R.China)
出处
《中华肿瘤防治杂志》
CAS
北大核心
2018年第S2期12-13,共2页
Chinese Journal of Cancer Prevention and Treatment
