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目的:观察腰椎穿刺脑脊液置换治疗蛛网膜下腔出血的临床疗效。方法:回顾性分析我院曾收治的112例原发性蛛网膜下腔出血患者的临床资料,按照治疗的不同方法将其分成实验组和对照组各56例,对照组采用常规治疗法,实验组采用常规治疗法+腰椎穿刺脑脊液置换治疗法,对比两组患者的治疗效果。结果:实验组总有效率为96.4%,对照组总有效率为83.9%,对比两组差异显著,有统计学意义(P<0.05);实验组并发症发生率为17.9%,对照组并发症发生率为33.9%,对比两组差异显著,有统计学意义(P<0.05)。结论:腰椎穿刺脑脊液置换治疗对蛛网膜下腔出血具有明显的疗效,能够快速缓解病情,降低并发症的发生率。
Objective: To observe the clinical effect of lumbar puncture and cerebrospinal fluid replacement for treatment of subarachnoid hemorrhage. Methods: The clinical data of 112 patients with primary subarachnoid hemorrhage who had been treated in our hospital were retrospectively analyzed. According to the different methods of treatment, they were divided into experimental group and control group, 56 cases each. The control group was treated by conventional therapy, Group using conventional therapy + lumbar puncture cerebrospinal fluid replacement therapy, the treatment of two groups were compared. Results: The total effective rate was 96.4% in the experimental group and 83.9% in the control group, with significant difference between the two groups (P <0.05). The incidence of complications in the experimental group was 17.9% The incidence was 33.9%, the difference between the two groups was significant, with statistical significance (P <0.05). Conclusion: Lumbar puncture and cerebrospinal fluid replacement therapy has obvious curative effect on subarachnoid hemorrhage, which can quickly relieve the illness and reduce the incidence of complications.