脑室外引流联合腰大池持续引流术治疗脑室内积血的效果评价  

Effect of external ventricular drainage combined with continuous lumbar cistern drainage on intraventricular hemorrhage

作　　者：吴胜青 李景东 曾振坤 黄威 伍海青 

机构地区：[1]广东省东莞市石碣医院神经外科,523290

出　　处：《齐齐哈尔医学院学报》2017年第19期2260-2261,共2页Journal of Qiqihar Medical University

摘　　要：目的探究脑室外引流联合腰大池持续引流术治疗脑室内积血的效果。方法选择2011年8月至2016年8月本院神经外科收治的68例脑室内积血患者为研究对象,所有患者均经CT检查证实为脑室内积血。根据手术方式分为对照组(30例)和研究组(38例)。对照组患者实施脑室外引流术,研究组患者实施脑室外引流联合腰大池持续引流术,对比两组患者的积血清除时间、脑室内感染率、脑积水发生率及日常生活活动能力评分。结果研究组患者脑室内感染率、脑积水发生率和积血清除时间,均显著低于对照组患者,差异有统计学意义(P<0.05)。治疗前,研究组患者日常生活活动能力评分(49.32±2.25)分,与对照组(49.35±2.30)分比较,差异无统计学意义(t=0.054,P=0.975)。治疗后,两组患者日常生活活动能力评分均显著升高,且研究组患者日常生活活动能力评分(69.84±4.64)分,显著高于对照组患者(58.41±3.47)分,差异有统计学意义(t=11.232,P<0.001)。结论对脑室内积血患者采取脑室外引流联合腰大池持续引流术治疗切实可行,效果较显著。Objective To explore the Effect of external ventricular drainage combined with continuous lumbar cistern drainage on intraventricular hemorrhage. Methods 68 cases of patients with intraventricular hemorrhage in our hospital（ August 2011 to August 2016） were selected as the target, including 30 cases of patients with external ventricular drainage （ control group）, 38 cases of patients with external ventricular drainage combined continuous lumbar cistern drainage （ experimental group）. The clearance time of blood accumulation, the rate of intraventricular infection, the incidence of hydrocephalus and activities of daily living were compared between the two groups.Results The incidence of intraventrieular infection, the incidence of hydrocephalus and the clearance time of blood stasis in the study group were significantly lower than those in the control group, the difference was statistically significant （P〈0.05）. Before treatment, the scores of activities of daily living （49.32± 2.25） in the study group were compared with those in the control group （49.35±2.30）, the difference was not statistically significant （ t = 0. 054, P = 0. 975 ）. After treatment, two groups of patients＂ activities of daily living scores were significantly increased, and the research activities of daily living group were （ 69.84 ± 4.64） %, significantly higher than the control group （58.41±3.47）, the difference was statistically significant （t = 11. 232, P〈 0.001 ）. Conclusions External ventricular drainage combined with lumbar cistern continuous drainage is feasible and effective for intraventricular hemorrhage patients.

关 键 词：脑室 引流 腰大池持续引流术 积血 

分 类 号：R651.15[医药卫生—外科学]