腰大池置管配合侧脑室引流治疗脑室出血患者的临床效果  

The Clinical Effect of Lumbar Cistern Catheterization Combined with Lateral Ventricular Drainage in the Treatment of Intraventricular Hemorrhage Patients

作　　者：喻文林 蔡建辉 Yu Wenlin;Cai Jianhui(Nanchang County People's Hospital,Nanchang Jiangxi 330200,China)

机构地区：[1]南昌县人民医院,江西南昌330200

出　　处：《医疗装备》2025年第2期18-21,共4页Medical Equipment

摘　　要：目的分析腰大池置管配合侧脑室引流治疗脑室出血患者的临床效果。方法回顾性分析2022年3月至2024年3月医院收治的82例脑室出血患者的临床资料,按治疗方法不同分为对照组(40例)和试验组(42例)。对照组行侧脑室引流,试验组行腰大池置管配合侧脑室引流。比较两组手术相关指标(引流时间、脑室积血消失时间、脑脊液转清时间及住院时间)、术前和术后3 d的脑血流灌注指标[脑血流量、脑血容量、对比剂平均通过时间(MTT)]及并发症(脑积水、颅内感染、再出血)发生率和预后恢复情况。结果试验组引流时间、脑室积血消失时间、脑脊液转清时间及住院时间均短于对照组(P<0.05)。试验组术后3 d的脑血流量、脑血容量均高于对照组,MTT短于对照组(P<0.05)。试验组并发症发生率低于对照组,预后恢复情况优于对照组(P<0.05)。结论腰大池置管配合侧脑室引流能缩短脑室出血患者的引流时间、脑室积血消失时间、脑脊液转清时间及住院时间,调节脑血流灌注,且并发症少,有利于改善预后。Objective To analyze the clinical effect of lumbar cistern catheterization combined with lateral ventricular drainage in the treatment of intraventricular hemorrhage patients.Methods With the retrospective analysis of clinical data of 82 patients with intraventricular hemorrhage admitted to the hospital from March 2022 to March 2024,they were divided into the control group(40 cases)and the experimental group(42 cases)according to different treatment methods.With the control group receiving lateral ventricle drainage,and the experimental group receiving lumbar cistern catheterization combined with lateral ventricle drainage,surgical related indicators(drainage time,disappearance time of intraventricular hemorrhage,time for cerebrospinal fluid to become clear and length of hospital stay),preoperative and postoperative 3-day cerebral blood flow perfusion indicators[cerebral blood flow,cerebral blood volume and mean transit time(MTT)],incidence of complications(hydrocephalus,intracranial infection and rebleeding),and prognosis recovery were compared between the two groups.Results The drainage time,disappearance time of intraventricular hemorrhage,time for cerebrospinal fluid to become clear,and length of hospitalization time in the experimental group were all shorter than those in the control group(P<0.05).The cerebral blood flow and cerebral blood volume in the experimental group were higher than those in the control group 3 days after surgery,and the MTT was shorter than that of the control group(P<0.05).The incidence of complications in the experimental group was lower than that in the control group,and the prognosis recovery was better than that in the control group(P<0.05).Conclusion Lumbar cisternal catheterization combined with lateral ventricular drainage can shorten the drainage time,the disappearance time of ventricular hemorrhage,the time for cerebrospinal fluid to become clear and the length of hospital stay for patients with Intraventricular hemorrhage,and regulate cerebral blood perfusion,with fewer com

关 键 词：腰大池置管引流 侧脑室引流 脑室出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]