摘要
目的 探讨持续腰穿外引流对防治脑血管痉挛的疗效与护理。方法 6 4例动脉瘤性蛛网膜下腔出血患者 ,在超早期行电解可脱卸弹簧圈 (guglielmidetachablecoil,GDC)栓塞术后 ,34例行持续腰穿外引流 ,另 30例行间断腰穿作为对照组 ,2组同样给予常规的尼莫通及 3H治疗 ,通过临床症状及经颅多谱勒超声 (TCD)判断血管痉挛的发生率及严重程度。结果 引流组发生症状性血管痉挛 4例 ,对照组 8例 ,其中 1例遗留神经功能障碍。引流组的脑血管痉挛发生率明显低于对照组。无引流相关并发症发生。结论 腰穿持续外引流可以有助于清除蛛网膜下腔积血 ,严密观察及合理护理对于减少并发症是必要的。
Objective\ To investigate the preventive and therapeutic effect of lumbar subarachnoid continuous drainage on cerebral vasospasm following subarachnoid hemorrhage. Methods\ All the aneurysms were embolized with guglielmi detachable coils superearly. Drainage group includes 34 patients undergoing continuous lumbar drainage post-operatively, while another 30 patients received lumbar puncture every two days were included in control group. The incidence and degree of vasospasm were estimated through clinical manifestation and transcranial doppler. Results\ Among these patients, 4 patients experienced cerebral vasospasm in the drainage group, while 1/8 patients in control group had moderate neurological deficit. There are significant difference in the incidence of cerebral vasospasm between the two groups.No complications related to continuous drainage were observed. Conclusions\ Lumbar continuous drainage may decrease the incidence of cerebral vasospasm by removing subarachnoid clot. It's necessary of reasonable nursing care to prevent the complication.
出处
《实用护理杂志》
北大核心
2002年第4期1-2,共2页
Journal of Practical Nursing
关键词
持续腰穿外引流
蛛网膜下腔出血
脑血管痉挛
护理
continuous lumbar drainage
subarachnoid hemorrhage
cerebral vasospasm
nursing
