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目的探讨脑脊液置换与放脑脊液治疗蛛网膜下腔出血的疗效评价分析。方法分为两组,腰穿脑脊液置换疗法(脑脊液置换组)和放脑脊液治疗组(即放脑脊液组)各40例,两组初始症状接近,观察两组临床治疗中的反应和表现。结果两组经过治疗,头痛、脑膜刺激征在短期内均明显好转,且治疗时间缩短,并发症减少。结论脑脊液置换治疗组与放脑脊液均能迅速缓解临床症状,降低脑血管痉挛及脑积水发生率,减少并发症的发生,而放脑脊液治疗方法简单、安全、可靠。
Objective To evaluate the efficacy of cerebrospinal fluid replacement and cerebrospinal fluid in the treatment of subarachnoid hemorrhage. Methods The patients were divided into two groups, 40 patients in each group received lumbar puncture replacement therapy (cerebrospinal fluid replacement group) and cerebrospinal fluid replacement group (cerebrospinal fluid replacement group). The initial symptoms of the two groups were close and the response and performance in two groups were observed. Results After treatment, headache and meningeal irritation in both groups were significantly improved in the short term, and the treatment time was shortened and complications were reduced. Conclusions Cerebrospinal fluid replacement therapy and cerebrospinal fluid administration can both relieve clinical symptoms, reduce the incidence of cerebral vasospasm and hydrocephalus, and reduce the incidence of complications. The cerebrospinal fluid replacement therapy is simple, safe and reliable.