脑出血早期腰大池持续引流与继发性脑积水的关系探讨  

Discussion on the Relationship Between Early Lumbar Puncture and Secondary Hydrocephalus in Cerebral Hemorrhage

作　　者：赵宏 ZHAO Hong(Department of Neurosurgery,Gansu Baoshihua Hospital,Lanzhou Gansu 730060,China)

机构地区：[1]甘肃宝石花医院神经外科,甘肃兰州730060

出　　处：《中国卫生标准管理》2020年第19期63-65,共3页China Health Standard Management

摘　　要：目的探讨脑出血早期腰穿与继发性脑积水的关系。方法收集我科自2009年3月31日—2019年1月12日收治的528例脑出血患者作为本次研究的对象,按照是否进行早期腰穿分为两组,研究组(实施腰穿)128例,对照组(未实施腰穿)400例。比较两组继发性脑积水发生率。结果入院后7天以内行腰穿者脑积水的发生率为20.31%,没有行腰穿者脑积水的发生率为51.75%,研究组脑积水发生率显著低于对照组,差异具有统计学意义(P <0.05)。结论脑出血患者实施早期腰穿与继发性脑积水发生有着密切的关系,对脑出血患者实施早期腰穿可以一定程度上预防继发性脑积水。Objective To explore the relationship between early lumbar puncture and secondary hydrocephalus in cerebral hemorrhage.Methods A total of 528 patients with cerebral hemorrhage admitted to our department from March 31,2009 to January 12,2019 were collected as the object of this study.They were divided into two groups according to whether early lumbar puncture was performed.128 cases in the study group(was implemented waist wear),400 cases in the control group(was not implemented waist wear).The incidence of secondary hydrocephalus was compared between the two groups.Results The incidence of hydrocephalus within 20 days after admission was 20.31%,and the incidence of hydrocephalus among those without lumbar puncture was 51.75%.The incidence of hydrocephalus in the study group was significantly lower than that in the control group.The difference was statistically significant(P<0.05).Conclusion The implementation of early lumbar puncture in patients with cerebral hemorrhage is closely related to the occurrence of secondary hydrocephalus.Early lumbar puncture in patients with cerebral hemorrhage can prevent secondary hydrocephalus to some extent.

关 键 词：脑积水 腰穿治疗 脑出血 发生率 关系 预防 脑脊液 

分 类 号：R643[医药卫生—外科学]