持续脑脊液腰大池穿刺在颅脑外伤术后治疗中的应用  

Application of continuous lumbar big pool puncture cerebrospinal fluid in the postoperative treatment of traumatic brain injury

作　　者：王颖健[1] 

机构地区：[1]常熟市中医院神经外科,江苏常熟215500

出　　处：《临床医学研究与实践》2016年第17期96-96,98,共2页Clinical Research and Practice

摘　　要：目的探讨持续脑脊液腰大池穿刺在患者颅脑外伤术后的治疗中的作用。方法将60例颅脑外伤术后患者随机分为脑脊液穿刺组和常规治疗组,每组30例。常规治疗组给予常规药物治疗,脑脊液穿刺组在常规药物治疗的基础上给予脑脊液持续腰大池穿刺引流。比较两组外伤术后2周患者脑脊液细胞学差异及半年内脑积水发生率。结果脑脊液穿刺组的脑积水发生率、脑脊液白细胞及蛋白指标平均水平均优于常规治疗组,差异有统计学意义(P<0.05)。结论在患者颅脑外伤术后的治疗中应用脑脊液持续腰大池穿刺,可有效减轻脑血管痉挛,缓解头痛症状,减少脑积水发生。Objective To investigate the duration of cerebrospinal fluid lumbar puncture in the postoperative treatment of traumatic brain injury. Methods Sixty cases of patients with traumatic brain injury were randomly divided into cerebrospinal fluid puncture group （30 cases） and conventional treatment group （30 cases）. The patients in conventional treatment group received conventional drug therapy, and patients in cerebrospinal fluid puncture group received continuous lumbar puncture cerebrospinal fluid drainage on the basis of conventional therapy. The difference of cerebrospinal fluid cytology two weeks after the injury and the incidence rate of hydrocephalus within six months after the injury between the two groups were compared. Results The incidence rate of hydrocephalus, the levels of WBC and other protein in cerebrospinal fluid of cerebrospinal fluid puncture group were superior to those of conventional treatment group, the difference was statistically significant（P〈0.05）. Conclusion During the treatment of brain injury, cerebrospinal fluid lumbar puncture can decrease the cerebral angiospasm, relieve headache symptoms and reduce the occurrence of hydrocephalus.

关 键 词：脑脊液细胞学 颅脑外伤 脑积水腰大池穿刺引流 

分 类 号：R651.1[医药卫生—外科学]