侧脑室穿刺持续引流在婴幼儿重度脑室出血中的应用研究  

Research on Continuous Drainage by Lateral Ventricle Puncture in Infantile Severe Ventricular Hemorrhage

作　　者：程兆兴 梁冠华[1] 黄晓雯[2] 肖伟群[1] 伍爱平[1] 黄波[1] 高添喜[1] 

机构地区：[1]广东省中山市博爱医院神经外科,528400 [2]广东省中山市博爱医院儿科,528400

出　　处：《心脑血管病防治》2017年第3期169-171,共3页CARDIO-CEREBROVASCULAR DISEASE PREVENTION AND TREATMENT

基　　金：广东省中山市卫生和计划生育局(编号:2015A020378)

摘　　要：目的探讨侧脑室穿刺持续引流治疗婴幼儿重度脑室出血的临床疗效。方法选取53例重度脑室出血的婴幼儿作为研究对象,并将所有患儿分为侧脑室持续引流治疗组和连续腰穿治疗组,比较两组患者的住院时间及Barley婴幼儿发育量表评分。结果侧脑室穿刺引流组的脑室通畅、意识转清、脑脊液转清、平均住院时间都少于连续腰穿治疗组,差异具有统计学意义(均P<0.05),而术后感染率、四肢运动障碍、再发性脑出血发生率都少于传统连续腰穿治疗组,差异具有统计学意义(均P<0.05),两组婴幼儿在Barley婴幼儿发育量表评分上的智力评分上无统计学意义,但侧脑室穿刺引流组的运动评分总体显著优于传统连续腰穿治疗组(P<0.05)。结论侧脑室穿刺引流治疗住院时间短,术后并发症发生率较低,且对婴幼儿运动功能的影响较小。Objective To explore curative effect of lateral ventricle puncture drainage in the treatment of infantile severe ventricular hemorrhage. Methods 53 infants with severe ventricular hemorrhage were collected as the research object. All patients were randomly divided into traditional continuous lumbar puncture treatment group and lateral ventricle drainage treatment group. Two groups were compared in terms of the drainage time, length of hospital stay and the Bayley scales of infant development （BSID）. Results The rates of ventricular patency, time to get consciousness, time of clearing bloody cerebrospinal fluid and the average length of hospital stay in lateral ventricle drainage treatment group were significantly less than the continuous lumbar puncture treatment group （all P 〈 0.05）. At the same time, postoperative infection, limbs dyskinesia and the incidence of recurrent cerebral hemorrhage in lateral ven- tricle drainage treatment group were significantly less than those in the traditional continuous lumbar puncture group （all P 〈 0.05）. There was no statistical difference in intelligent quotient between both groups on the BSID, but the overall motor scale of lateral ventri- cle puncture drainage group was significantly superior to the traditional continuous lumbar puncture treatment group （ P 〈 0.05）. Conclusions The treatment of lateral ventricle puncture has the characteristics of short hospital stay, lower post-operative complication rate as well as smaller effect on the motor function of infants.

关 键 词：婴幼儿 重度脑室积血 侧脑室穿刺持续引流 连续腰穿引流 疗效 

分 类 号：R726.5[医药卫生—儿科]