腰椎穿刺术联合高压氧治疗外伤性蛛网膜下腔出血36例疗效评价  

作　　者：李华兴[1] 黄莉芳[1] 张腾[1] 陈伟强[1] 朱剑锋[1] 

机构地区：[1]南方医科大学第五附属医院,广东广州510900

出　　处：《中国药业》2015年第B12期383-384,共2页China Pharmaceuticals

摘　　要：目的评价腰椎穿刺术联合高压氧治疗对外伤性蛛网膜下腔出血（tSAH）的疗效。方法选择单纯性tSAH患者69例。对照组33例在常规治疗48h后行腰椎穿刺术。治疗组36例在对照组治疗的基础上加用高压氧治疗。观察两组患者治疗前后意识障碍（GCS〈15分）、头痛、头晕，恶心、呕吐的持续时间及颅内压恢复至正常（〈200mmH2O）所需时间。结果治疗组意识障碍，头痛、头晕，恶心、呕吐的平均持续时间和颅内压恢复至正常所需时间均较对照组缩短（P〈0．05）。两组治疗后均未见明显的不良反应。结论腰椎穿刺术联合高压氧治疗外伤性蛛网膜下腔出血疗效可靠，值得临床推广。Objective To study the efficacy of lumbar puncture combined with hyperbaric oxygen therapy in the treatment of trau- matic subarachnoid hemorrhage.Methods Patients with traumatic subarachnoid hemorrhage were randomly divided into two groups. The control group was treated with lumbar puncture.The treatment group was combined with hyperbaric oxygen therapy on the basis of control group.Duration of consciousness disorder, headache, dizziness, nausea, vomiting, and effective rate for the two groups were observed.Results The average duration of consciousness disorder （GCS〈15）,headache, dizziness,nausea,vomiting and high intracranial pressure（〉200mmH2O） in treatment group was shorter than those of control group（P〈0.05）.During treatment,the adverse reactions were not arised for the two groups.Conclusion Lumbar puncture combined with hyperbaric oxygen therapy has an accurate clinical effect for the treatment of traumatic subarachnoid hemorrhage ,so it is worthy of clinical application.

关 键 词：外伤性蛛网膜下腔出血 腰椎穿刺 高压氧 

分 类 号：R743.35[医药卫生—神经病学与精神病学]