腰大池置管引流手术治疗急性期颅内感染患者的临床效果及对患者NIHSS评分的影响  

Clinical Effect of Lumbar Cistern Drainage for Patients with Acute Intracranial Infection and Its Influence on NIHSS Score

作　　者：江小华 杨婷 JIANG Xiaohua;YANG Ting(Wuhan Jinyintan Hospital,Wuhan 430000,China;不详)

机构地区：[1]武汉市金银潭医院,湖北武汉430000

出　　处：《中外医学研究》2021年第15期29-31,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:观察腰大池置管引流术治疗急性期颅内感染的临床效果。方法:选取本院2013年3月-2019年3月收治的100例急性期颅内感染患者为研究对象。随机分为对照组和研究组,每组50例。对照组接受腰椎穿刺引流术,研究组接受腰大池置管引流术。比较两组体温恢复时间、感染控制时间,以及治疗后1个月脑脊液相关指标、加拿大神经功能量表评分、美国国立卫生研究院卒中量表(NIHSS)评分(包括意识水平、面瘫、视野、感觉、上下肢运动、构音障碍评分)。结果:治疗后1个月,研究组脑脊液蛋白质、白细胞计数、脑脊液压力水平低于对照组,葡萄糖、氯化物高于对照组,差异有统计学意义(P<0.05)。研究组体温恢复时间、感染控制时间均早于对照组,差异有统计学意义(P<0.05)。治疗后1个月,研究组加拿大神经功能量表评分低于对照组,差异有统计学意义(P<0.05);研究组NIHSS评分意识水平、面瘫、视野、感觉、上下肢运动、构音障碍评分均低于对照组,差异有统计学意义(P<0.05)。结论:腰大池置管引流术治疗急性期颅内感染的临床效果显著,可促进患者体温恢复,快速控制感染,改善预后。Objective:To observe the clinical effect of lumbar cistern drainage in the treatment of acute intracranial infection.Method:A total of 100 patients with acute intracranial infection in our hospital from March 2013 to March 2019 were selected as the research objects.They were randomly divided into the control group and the study group,50 cases in each group.The control group received lumbar puncture drainage,and the study group received lumbar cistern drainage.The body temperature recovery time,infection control time,and the cerebrospinal fluid related indexes,Canadian neurological scale score and national institutes of health stroke scale (NIHSS) scores (including consciousness level,facial paralysis,vision,sensation,upper and lower limb movement,language impairment score) one month after treatment were compared between the two groups.Result:One month after treatment,the levels of protein,white blood cell,and pressure of cerebrospinal fluid in the study group were lower than those in the control group,the levels of glucose and chloride of cerebrospinal fluid in the study group were higher than those in the control group,the differences were statistically significant (P<0.05).The temperature recovery time and infection control time in the study group were earlier than those in the control group,and the differences were statistically significant (P<0.05).One month after treatment,the score of the Canadian neurological function scale in the study group was lower than that in the control group,the difference was statistically significant (P<0.05);the consciousness level,facial paralysis,vision,sensation,upper and lower limb movement,language impairment scores of NIHSS score of the study group were lower than those of the control group,the differences were statistically significant (P<0.05).Conclusion:The clinical effect of lumbar cistern drainage in the treatment of acute intracranial infection is significant,which can promote the recovery of body temperature,control the infection quickly and improve the prognosis.

关 键 词：急性期颅内感染 腰大池置管引流术 腰椎穿刺引流术 

分 类 号：R651.1[医药卫生—外科学]