高血压性脑出血破入脑室开颅术后早期行腰穿术的体会  

Hypertensvi e intraec rebral he morrha ge broken into ventricles experience craniotomy surgery early postoperative lumbar puncture

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作  者:吴杰[1] 徐洁[1] 任日军 

机构地区:[1]青岛潍坊医学院附属青岛市胶州中心医院神经外科,山东胶州266300

出  处:《中国伤残医学》2015年第24期7-9,共3页Chinese Journal of Trauma and Disability Medicine

摘  要:目的:比较术后早期行腰穿术及未行腰穿术对治疗高血压脑出血破入脑室系统开颅术后的疗效分析。方法:选定我院本科自2010年~2014年行开颅手术治疗的48例高血压脑出血破入脑室系统患者的完整资料,严格遵循病例纳入标准,分为2组,即(腰穿组)及(未腰穿组)各24例病人,对患者术后的意识障碍恢复情况,出现颅内感染及继发性脑积水例数三方面情况进行分析总结。结果:高血压性脑出血破入脑室开颅术后早期行腰穿术,可缩短患者的意识障碍恢复的时间,减少患者颅内感染几率及继发性脑积水几率,其进行均衡性检验具有可比性,具有统计学差异(P<0.05)。结论:高血压性脑出血破入脑室开颅术后早期行腰穿术,可有效的促进患者的意识恢复,减少患者的颅内感染及继发性脑积水几率,明显改善患者的预后,并缩短病程。Objective:To compare the efficacy of early postoperative lumbar puncture did not undergo surgery and lumbar puncture for treatment of hypertensive cerebral hemorrhage broken into the ventricular system of craniotomy .Methods:The purpose of the selected col-lege since our hospital from 2010 to 2014 lines open cranial surgery 48 patients with hypertensive cerebral hemorrhage rupturing into the ventricular system of patients with complete data , strictly follow the cases of inclusion criteria , divided into two groups , namely ( lumbar puncture group) and (not lumbar puncture group ) 24 patients, patients recovery of consciousness after surgery , intracranial infection and secondary brain number three aspects of hydrocephalus patients were analyzed and summarized the Results:hypertensive cerebral hemor-rhage broken into ventricles craniotomy surgery early postoperative lumbar puncture can shorten patients consciousness recovery time , re-duces the risk of infection in patients with intracranial and secondary hydrocephalus chance to equalize its test were comparable with signif -icant difference ( P 〈0.05 ) .Conclusion: hypertensive cerebral hemorrhage broken into ventricles craniotomy early lumbar puncture technique , could effectively promote awareness of the patient's recovery and reduce the patient's intracranial infection and secondary hydro-cephalus chances significantly improve the prognosis of patients , and shorten the course .

关 键 词:高血压性脑出血破入脑室开颅术后 早期腰穿 意识障碍恢复 颅脑感染率 继发性脑积水率 

分 类 号:R743[医药卫生—神经病学与精神病学]

 

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