[1]周厚俊,李高峰.饮水量对慢性硬膜下血肿钻孔引流术后脑复张的影响[J].中国临床神经外科杂志,2018,(09):606-608.[doi:10.13798/j.issn.1009-153X.2018.09.010]
　ZHOU Hou-Jun,LI Gao-feng. . Department of Neurosurgery,First Affiliated.Effect of volume of drunk water on brain recruitment after chronic subdural hematoma drainage[J].,2018,(09):606-608.[doi:10.13798/j.issn.1009-153X.2018.09.010]
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饮水量对慢性硬膜下血肿钻孔引流术后脑复张的影响()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年09期
页码:
606-608
栏目:
论著
出版日期:
2018-09-25

文章信息/Info

Title:
Effect of volume of drunk water on brain recruitment after chronic subdural hematoma drainage
文章编号:
1009-153X（2018）09-0606-03
作者:
周厚俊; 李高峰
650032 昆明，昆明医科大学第一附属医院神经外二科（周厚俊）；650500 昆明，昆明医科大学（李高峰）
Author(s):
ZHOU Hou-Jun1;  LI Gao-feng2. 1. Department of Neurosurgery;  First Affiliated
Hospital, Kunming Medical University, Kunming 650032, China; 2. Kunming Medical University, Kunming 650032, China
关键词:
慢性硬膜下血肿; 钻孔引流术; 饮水量; 脑复张; 脑灌注压
Keywords:
Chronic subdural hematomas;  Brain recruitment;  Drinking water;  Cerebral perfusion pressure
分类号:
R 651.1+5; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2018.09.010
文献标志码:
A
摘要:
目的 探讨饮水量对慢性硬膜下血肿钻孔引流术后脑复张的影响。方法 2016年1月至2017年12月择期行钻孔引流术治疗慢性硬膜下血肿156例，按术后饮水量分为大量饮水组（饮水量≥2 000 ml/d，52例）、适量饮水组（饮水量1 000~2000 ml/d，52例）和少量饮水组（饮水量≤1 000 ml/d，52例）。术前、术后14 d测量脑灌注压，行头颅CT评价脑复张。结果 随着饮水量的增加，脑灌注压明显上升（P<0.05），而脑复张不全发生率明显降低（P<0.05）。3组术后血肿复发率无统计学差异（P>0.05）。结论 慢性硬膜下血肿钻孔引流术术后饮水量≥2 000 ml/d，可提高脑灌注压，降低脑复张不全发生率。
Abstract:
Objective To investigate the effect of the volume of drunk water on brain recruitment after the drainage of the chronic subdural hematoma (CSDH). Methods The drainage of the hematomas was performed in 156 patients with CSDH from January, 2016 to December, 2017. The 156 patients were divided into 3 groups of 52 patients each, i.e. group A in which each patient drank more than 2 000 ml of water every day, group B in which 1000~2000 ml and group C in which less than 1000 ml. The cerebral perfusion pressure (CPP) were determined and the cerebral re-expansion levels were assessed by head CT before and 14 days after the drainage. Results CPP was significantly higher after the drainage than that before the drainage in all the groups (P<0.05). After the drainage, CPP was significantly higher in group A than that in group B (P<0.05), which was significantly higher than that in group C (P<0.05). The rates of good cerebral recruitment were significantly higher in groups A and B respectively than that in group C (P<0.05), but there was insignificant difference in the rate of good cerebral recruitment between groups A and B 14 days after the drainage (P>0.05). Conclusions The CPP and rate of good cerebral recruitment can be enhanced by the drinking of more than 2000 ml/day of water in the patients with CSDH after the drainage of the hematomas.

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81460356）
更新日期/Last Update: 2018-09-30