腰大池持续引流术在基层医院神经外科疾病治疗中的应用  

Application of Continuous Lumbar Cistern Drainage in Treatment of Neurosurgery Diseases in Primary Hospitals

作　　者：戚茂林 QI Maolin(Linyi City Tancheng County the First People's Hospital,Linyi,Shandong,276100)

机构地区：[1]山东省临沂市郯城县第一人民医院,山东临沂276100

出　　处：《智慧健康》2022年第30期151-155,共5页Smart Healthcare

摘　　要：目的探究在基层医院神经外科中,采用腰大池持续引流术(LCFD)在临床上的效果。方法选取2019年5月-2020年5月间收治的患者86例,将其按照治疗方案划分成2组,且各组采取差异性治疗方案。观察组中,主要采用了采用LCFD术治疗,而对照组采用传统腰椎穿刺治疗,最终从两组引流治疗相关指标、预后情况、并发症率等三个维度上进行对比,以探究出LCFD治疗的优势。结果通过实施不同的治疗方法,观察组中在引流治疗相关指标中占据明显优势,具体体现在平均腰椎穿刺次数更少、引流时间更短、颅内压恢复、脑脊液转清更快等等,组间比较,观察组各指标均更佳(P<0.05,t=6.625,6.211,6.059,6.473)。调查两组预后情况,各指标同样存在差异,观察组中预后情况良好者占比62.79%(27/43),出现重度残疾、植物生存概率9.30%(4/43),而对照组两指标分别为:46.52%(20/43)、20.93%(9/43),证明观察组预后情况更好(P<0.05,χ^(2)=8.135,5.813)。通过随访调查统计并发症情况,观察组发生率2.33%(1/43),明显低于对照组指标11.63%(5/43),证实观察组的治疗方案远期效果更好,安全性更高(P<0.05,χ^(2)=4.650)。结论基层医院神经外科中采取LCFD治疗效果较好,其安全有效,对患者造成的伤害小,且恢复情况更好,值得推广。Objective To investigate clinical effect of continuous lumbar cistern drainage(LCFD)in neurosurgery department of primary hospitals.Methods The paper chose 86 patients from May 2019 to May 2020 and divided them into two groups according to treatment scheme,and each group was treated with different treatment plans.Observation group was treated with LCFD mainly,while control group with traditional lumbar puncture.Finally,three dimensions,including drainage treatment related indicators,prognosis,and complication rate were compared between two groups,and advantages of LCFD treatment were explored.Results Based on different treatment methods,first of all,observation group had obvious advantages in relevant indicators of drainage treatment,which were embodied in fewer average lumbar puncture times,shorter drainage time,faster recovery of intracranial pressure,and faster clearance of cerebrospinal fluid.Observation group had better indicators(P<0.05,t=6.625;6.211;6.059;6.473).Secondly,after prognosis investigation between two groups,there was difference in each index.In observation group,62.79%(27/43)had good prognosis,9.30%(4/43)had severe disability and plant survival probability,while two indicators in control group were 46.52%(20/43)and 20.93%(9/43)respectively,which proved that observation group had better prognosis(P<0.05,χ^(2)=8.135;5.813).Finally,statistics of complications were made through followup survey,complications incidence in observation group was 2.33%(1/43),significantly lower than control group(11.63%(5/43).It was confirmed that long-term effect of treatment scheme in observation group was better and safety was higher(P<0.05,χ^(2)=4.650).Conclusion LCFD can achieve good effect in neurosurgery department of basic level hospitals,which is safe and effective,with less harm to patients,and better recovery,which is worthy of promotion.

关 键 词：腰大池持续引流 基层医院 神经外科 效果 

分 类 号：R651[医药卫生—外科学]