Application of continuous cerebrospinal fluid drainage in severe intraventricular hemorrhage and subarachnoid hemorrhage of newborns
10.3760/cma.j.issn.1008-6706.2017.15.018
- VernacularTitle:持续脑脊液引流在重度新生儿脑室内及蛛网膜下腔出血中的应用研究
- Author:
Xiaoheng ZHOU
- Keywords:
Subarachnoid hemorrhage;
Cerebrospinal fluid;
Drainage;
Infant;
newborn
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(15):2313-2316
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of continuous cerebrospinal fluid(CSF) drainage in severe intraventricular hemorrhage(IVH) and subarachnoid hemorrhage(SAH) of newborns.Methods According to the digital table,136 newborns with severe IVH and SAH were divided into two groups,68 patients in each group.The control group was treated with lumbar puncture,while the observation group was treated with coronal suture puncture and CSF drainage.The efficacy of the two groups was analyzed and compared.Results The recovery time for CSF pressure and CSF cytology examination,disability rate of the observation group were (7.0±1.4)d,(8.1±3.5)d,38.32%,respectively,which were higher than those of the control group[(9.0±1.8)d,(10.5±3.6)d,55.88%](t=9.17,10.29,χ2=21.99,all P<0.01).There was significant difference in efficacy evaluation between the observation group and the control group(91.18% vs.73.53%,χ2=8.39,P<0.05).Conclusion The continuous CSF drainage treatment in severe IVH and SAH of newborns can significantly shorten the recovery time of patients′ CSF pressure and CSF cell numbers,stimulate nervous system recovery and reduce complication and disability rate.
