连续腰椎穿刺引流在动脉瘤性蛛网膜下腔出血栓塞术后的作用  

Effect of consecutive lumbar puncture on aneurysmal subarachnoid hemorrhage after embolization

作　　者：管萍[1] 李荣华[1] 杨小华[1] 

机构地区：[1]湖北省天门市第一人民医院神经内科,湖北天门431700

出　　处：《实用临床医药杂志》2014年第24期16-18,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11321461)

摘　　要：目的探讨连续腰椎穿刺引流对动脉瘤性蛛网膜下腔出血(a SAH)患者血管栓塞治疗后的作用。方法 42例a SAH患者接受颅内动脉栓塞治疗后,根据是否采取连续腰椎穿刺分为观察组20人和对照组22人。观察2组患者迟发性缺血性神经功能缺陷(DIDN)、头痛缓解和Rankin评分差异。结果观察组患者头痛缓解天数短于对照组(P<0.05);治疗期内,观察组患者DIDN发生率低于对照组(P<00.05),14 d时Rankin评分低于对照组(P<0.05)。结论 a SAH患者栓塞治疗后行早期连续腰椎穿刺引流,能降低DIND发生风险,促进神经和认知功能早期恢复。Objective To explore the effect of consecutive lumbar puncture on aneurysmal subarachnoid hemorrhage after embolization. Methods 42 patients with aneurysmal subarachnoid hemorrhage （aSAH） were divided into observation group （n = 20） and control group （n = 22） ac- cording to performance of continuous lumbar puncture. Delayed ischemic neurological functional de- fect （DIDN）, headache and Rankin score were observed. Results There were significant differ- ences between the observation group and the control group in time of headache relief, occurrence rate of DIDN and Rankin score 14 days after treatment （P 〈 0.05）. Conclusion Early continuous lumbar puncture after treatment of intracranial arterial embolization can reduce the risk of DIND and promote the recovery of neural and cognitive function.

关 键 词：动脉瘤 蛛网膜下腔出血 脑脊液 腰椎穿刺 引流 

分 类 号：R743.35[医药卫生—神经病学与精神病学]