腰大池引流治疗老年外伤性蛛网膜下腔出血的临床分析  

Clinical Analysis of Lumbar Cistern Drainage in the Treatment of Senile Traumatic Subarachnoid Hemorrhage

作　　者：高亮 GAO Liang(Department of Neurosurgery,the Third People's Hospital of Taizhou,Taizhou,Jiangsu Province,225321 China)

机构地区：[1]泰州市第三人民医院神经外科

出　　处：《世界复合医学》2019年第11期99-101,共3页World Journal of Complex Medicine

摘　　要：目的分析腰大池引流治疗老年外伤性蛛网膜下腔出血的临床效果。方法选取该院2015年1月-2019年5月接诊的患者60例作为该次研究对象,将其按照入院先后顺序的不同分成研究组和对照组,对照组患者进行腰穿术放出脑脊液治疗,研究组患者进行腰大池引流治疗,对比两组患者的治疗后的GCS评分、VAS评分、生化指标和病死率、脑积水发生率。结果研究组患者的GCS评分(12.11±1.25)分、VAS(3.21±1.25)分、SOD(91.25±8.34)nU/mL、MDA(3.21±0.59)μmol/L、脑脊液红细胞含量(14.23±2.11)×108/L、病死率为3.33%、脑积水发生率为6.67%;对照组患者的GCS评分(9.01±1.03)分、VAS(6.55±1.78)分、SOD(73.42±8.25)nU/mL、MDA (4.89±0.89)μmol/L、脑脊液红细胞含量(20.15±3.32)×108/L、病死率为20.00%、脑积水发生率为26.67%,数据对比均差异有统计学意义﹙t=9.248、8.411、8.325、8.618、8.243,χ~2=4.043、4.320,P<0.05﹚。结论对老年外伤性蛛网膜下腔出血患者应用腰大池引流治疗效果显著,可以有效降低患者的病死率,提高治疗效果,值得进一步推广应用。Objective To analyze the clinical effect of lumbar drainage in the treatment of traumatic subarachnoid hemorrhage in the el-derly. Methods Sixty patients who were admitted to the hospital from January 2015 to May 2019 were enrolled in this study. They were divided into study group and control group according to the order of admission. The control group underwent lumbar puncture to release cerebrospinal fluid. Treatment, patients in the study group were treated with lumbar drainage, and the GCS score, VAS score,biochemical index and mortality, and the incidence of hydrocephalus were compared between the two groups. Results GCS scores(12.11±1.25)points, VAS(3.21±1.25)points, SOD(91.25±8.34) nU/mL, MDA(3.21±0.59) μmol/L, and cerebrospinal fluid erythrocyte content(14.23±2.11)×108/L in the study group, mortality rate was 3.33%, hydrocephalus incidence rate was 6.67%;control group patients had GCS score(9.01±1.03)points, VAS(6.55±1.78)points, SOD(73.42±8.25) nU/mL, MDA(4.89±0.89) μmol/L, cerebrospinal fluid erythrocyte content(20.15±3.32)×108/L, mortality rate 20.00%, hydrocephalus incidence rate 26.67%, data comparison were statistically significant﹙t=9.248,8.411,8.325,8.618,8.243,χ~2=4.043,4.320,P<0.05﹚. Conclusion The treatment of elderly patients with traumatic subarachnoid hemorrhage has significant effect on the treatment of lumbar cistern drainage, which can effectively reduce the mortality of patients and improve the therapeutic effect. It is worth further promotion and application.

关 键 词：腰大池引流 腰穿术 外伤 蛛网膜下腔出血 

分 类 号：R651[医药卫生—外科学]