Joint Waist Beyond The Ventricle Drainage Pool Curative Effect For The Treatment Of Intraventricular Hemorrhage Complicated With Hydrocephalus

Objective: the incidence of cerebral hemorrhage is a common disease with high mortality and high morbidity.The incidence of cerebral hemorrhage is about 30% to 60% of the total number of hemorrhagic cerebral vascular disease patients.Because the vast majority of patients with hydrocephalus,if not take active treatment,patients will face a serious threat of death.Therefore,the effective treatment of cerebral hemorrhage complicated with hydrocephalus has become an important part of clinical concern.This study aimed at the medical circles at home and abroad existing research results to make deep and systematic analysis,sums up the useful experience in the clinical treatment and on the basis of exploring brain outdoor combined with lumbar cistern drainage in the treatment of ventricular hemorrhage and hydrocephalus clinical therapeutic effect,and to provide scientific basis for the treatment in the clinical treatment to promote the use of.Methods: in our hospital in January 2015 ~ 2016 January 60 cases of ventricular hemorrhage and hydrocephalus patients as the research object,the informed consent of patients by random number table method will filter out patients were divided into the control group and the study group,30 cases in each group.Control group of 20 cases of men and women in 10 cases,age ranged from 40 to 63 years old,average age(52.5+2.5 years),clinical manifestations: continuous headache,projectile vomiting,convulsions ang disorder of consciousness.There are two patients whose GCS is under 8.Research group,male 18 cases,female 12,aged from 40 to 65 years,mean age of 52.5 + 3.0 years,clinical manifestations: continuous headache,projectile vomiting,convulsions ang disorder of consciousness.There are three patients whose GCS is under 8.There was no significant difference in the two groups(P> 0.05),and the feasibility of the group comparison.All the patients in this group A after hospital treatment can give the bleeding,dehydration to reduce intracranial pressure,control blood pressure,anti spasm,nerve nutrition,anti infection / antibacterial,correct patients in electrolyte and acid-base balance,regulate gastrointestinal function,continuous hyperbaric oxygen and other basic treatment.Control group alone cerebral ventricle puncture to treat,unilateral ventricle hemorrhage implement unilateral ventricle puncture drainage,bilateral intraventricular hemorrhage take double ventricle puncture drainage.In the study group,the treatment of lumbar cistern drainage was carried out in the study group,and the control group was treated with external ventricular puncture and drainage.When the cerebral ventricle hemorrhage patients with hydrocephalus after the treatment of intracranial pressure decreased to 20 mmHg below the lumbar cistern drainage treatment.The clinical data of two groups were collected and the data of two groups were compared and analyzed by using SPSS17.0 statistical software.Results:1 patients in the study group were markedly effective in 22 cases,effective in 6 cases,ineffective in 2 cases,the total effective rate was 93.3%,the whole treatment process of 2 patients died,the mortality rate was 6.7%.But at the same time alone ventricle puncture for the treatment of the control group,markedly effective in 12 cases,effective in 12 cases,invalid in 6 cases,the total efficiency of 80%,6 cases died during the treatment period,with a mortality rate of 20%.The total effective rate and mortality were compared between the two groups,and the difference was statistically significant(P < 0.05).2The ventricle combined with lumbar cistern drainage treatment,patients in the study group,headache duration(6.25 + 1.75)d,ventricle drainage time(9.50 + 1.20)d,length of hospital stay(23.50 + 2.25)d,Glasgow Coma Score(13.75 + 1.25),and alone ventricle puncture for the treatment of control group numerical respectively(9.50 + 1.50)d,(12.85 + 1.20)d,(3.15 + 2.00)d,(10.50 + 1.50).Two groups of patients with duration of headache,ventricular drainage time,hospital stay,Glasgow score comparison,the difference was statistically significant(P< 0.05).3The patients of the experimental group after the incidence of complications was 10%,including intracranial infection in 2 cases(6.7%),cerebral hernia in 1 case(3.3%)and rebleeding patients(0%),compared with the control group of patients with postoperative complication rate was 20%,including intracranial infection in 3 cases(10%),cerebral hernia in 2 cases(6.7%)and rebleeding in 1 case(3.3%),postoperative complication rate,the difference is statistically significant(P< 0.05).Conclusion:1 the ventricle combined with lumbar cistern drainage in the treatment of ventricular hemorrhage and hydrocephalus can significantly shorten the duration of headache,ventricular drainage time,hospital stay,improve the clinical treatment effect and prognosis.2 the program can significantly improve the patient’s coma,reduce the resulting mortality,for the patient’s life safety has played a strong guarantee.