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目的观察和探讨侧脑室引流联合腰穿脑脊液置换治疗脑室出血的疗效。方法选取2009年1月-2012年1月我院收治的120例患有脑室出血的患者,将其随机分为治疗组和对照组,治疗组患者选用腰穿脑脊液置换联合侧脑室引流治疗脑室出血,观察组患者选用单纯的侧脑室引流换治疗脑室出血,观察两组患者在治疗后的临床疗效和脑室内积血清除时间。结果治疗组脑室内积血清除的时间明显比对照组时间短,总有效率93.33%也高于对照组的61.67%,差异有统计学意义。结论侧脑室引流联合腰穿脑脊液置换治疗脑室出血疗效显著,优于侧脑室引流治疗脑室出血,且并发症少,值得临床推广和应用。
Objective To observe and discuss the effect of lateral ventricle drainage combined with lumbar puncture and cerebrospinal fluid replacement on intraventricular hemorrhage. Methods From January 2009 to January 2012, 120 patients with ventricular hemorrhage admitted to our hospital were randomly divided into treatment group and control group. Patients in treatment group were treated with lumbar puncture and cerebrospinal fluid replacement combined with lateral ventricle drainage to treat ventricular hemorrhage The patients in the observation group were treated with simple lateral ventricle drainage in the treatment of ventricular hemorrhage. The clinical efficacy and the time of intraventricular hemorrhage in both groups were observed. Results The time of treatment of intraventricular hemorrhage was significantly shorter in the treatment group than in the control group, with a total effective rate of 93.33% and 61.67% of that in the control group. The difference was statistically significant. Conclusion Lateral ventricle drainage combined with lumbar puncture and cerebrospinal fluid replacement is effective in treating ventricular hemorrhage, which is superior to lateral ventricle drainage in treating ventricular hemorrhage with less complications. It is worthy of clinical promotion and application.