腰大池持续引流在颅内破裂动脉瘤介入术后的应用  

Application of Continuous Drainage of Lumbar Cistern after Interventional Operation of Intracranial Ruptured Aneurysm

作　　者：周立平[1] 储亮[1] ZHOU Li-ping;CHU Liang(Department of Neurosurgery,Yixing People's Hospital,Yixing,Jiangsu Province,214200 China)

机构地区：[1]宜兴市人民医院神经外科,江苏宜兴214200

出　　处：《中外医疗》2021年第5期61-63,共3页China & Foreign Medical Treatment

摘　　要：目的探析颅内破裂动脉瘤介入术后应用腰大池持续引流的临床效果。方法方便选取2015年1月-2020年1月在该院行介入术的颅内破裂动脉瘤患者82例为观察对象,按照不同治疗方法分成对照组与实验组,每组41例。对照组给予常规腰椎穿刺引流治疗,实验组给予腰大池持续引流治疗,对两组治疗效果、临床相关指标及并发症发生率进行比较。结果针对治疗效果来说,实验组总有效率为90.24%,对照组为70.73%,组间对比,差异有统计学意义(χ^(2)=4.210,P<0.05)。针对临床相关指标来说,实验组颅内压恢复正常时间、头痛缓解时间、住院时间分别为(11.72±2.08)d、(10.58±2.14)d、(14.26±3.02)d,对照组分别为(15.36±2.26)d、(14.06±2.23)d、(19.25±3.24)d,实验组均明显短于对照组,差异有统计学意义(t=8.260、7.950、9.020,P<0.05)。对于并发症发生情况来说,实验组发生率为7.32%,对照组为24.39%,差异有统计学意义(χ^(2)=5.140,P<0.05)。结论颅内破裂动脉瘤介入术后应用腰大池持续引流的临床效果更加显著,能够有效减轻患者症状,减少并发症的发生,加快患者术后康复,临床应用价值非常高。Objective To explore the clinical effect of continuous lumbar drainage after interventional operation for ruptured intracranial aneurysm. Methods A total of 82 patients with intracranial rupture aneurysm who underwent interventional surgery in the hospital from January 2015 to January 2020 were convenient selected as observation objects. According to different treatment methods, they were divided into control group and experimental group, with 41 cases in each group. The control group was given conventional lumbar puncture and drainage treatment, and the experimental group was given continuous lumbar drainage treatment. The treatment effect, clinical related indicators and complication rate of the two groups were compared. Results In terms of the treatment effect, the total effective rate of the experimental group was90.24%, and that of the control group was 70.73%.The difference was statistically significant between the groups(χ^(2)=4.210,P<0.05). In terms of clinical indicators, the time to normal intracranial pressure, headache relief time, and hospital stay in the experimental group were(11.72±2.08)d,(10.58±2.14)d, and(14.26±3.02)d in the control group, respectively(15.36±2.26)d,(14.06 ±2.23)d,(19.25 ±3.24)d, the experimental group was shorter than the control group,the difference was statistically significant(t =8.260, 7.950, 9.020, P <0.05). Regarding the occurrence of complications, the incidence rate of the experimental group was 7.32%, and that of the control group was 24.39%, the difference was statistically significant(χ^(2)=5.140, P<0.05). Conclusion The clinical effect of continuous lumbar drainage after interventional operation of intracranial ruptured aneurysm is more significant, which can effectively reduce the symptoms of patients, reduce the occurrence of complications, and speed up the recovery of patients after surgery. The clinical application value is very high.

关 键 词：颅内破裂动脉瘤 腰大池持续引流 治疗效果 并发症 

分 类 号：R743[医药卫生—神经病学与精神病学]