Y-型双腔引流管+持续灌注与单腔引流管单纯引流治疗老年亚急性硬膜下血肿的疗效比较

Efficacy of Y-shaped double-lumen drainage tube combined with continuous perfusion versus single-lumen drainage tube alone in treatment of elderly patients with subacute subdural hematoma: a comparative analysis

摘要:

目的 比较Y-型双腔引流管+持续灌注与单腔引流管单纯引流治疗老年亚急性硬膜下血肿的疗效。方法 将2013年1月至2015年12月期间收治的28例接受手术治疗的亚急性硬膜下血肿老年患者,随机分为Y-型双腔引流管+持续灌注组与单腔引流管单纯引流组,其中Y-型双腔引流管+持续灌注组17例,单腔引流管单纯引流组11例。比较2组术后1 d,2 d,3 d,14 d,3个月 OM线上第5层面的中线偏移值。并比较两组引流液恢复正常所需时间及复发率。结果 Y-型双腔引流管+持续灌注组与单腔引流管单纯引流组中线偏移距离术前无显著性差异,术后1 d两组中线偏移距离仍无显著性差异,但术后2 d,3 d,14 d,3个月中线偏移距离存在显著性差异。治疗组引流液清亮需要的中位时间为2 d,无1例复发。对照组引流液清亮需要中位时间为3 d,2例复发,差异有统计学意义(P<0.05)。结论 Y-型双腔引流管+持续灌注治疗亚急性硬膜下血肿安全可靠,方法简便易行。

Abstract:

Objective To investigate the efficacy of Y-shaped double-lumen drainage tube combined with continuous perfusion versus single-lumen drainage tube alone in the treatment of elderly patients with subacute subdural hematoma.Methods A total of 28 elderly patients with subacute subdural hematoma who were admitted to our hospital and underwent surgical treatment from January 2013 to December 2015 were enrolled and randomly divided into Y-shaped double-lumen drainage tube plus continuous perfusion group (17 patients) and single-lumen drainage tube group (11 patients). The midline shifts of the OM line on the 5th level at 1, 2, 3, and 14 days and 3 months after surgery were compared between groups, and the time for drainage liquid to return to normal and recurrence rate were compared between groups.Results The midline shift showed no significant differences between the Y-shaped double-lumen drainage tube plus continuous perfusion group and the single-lumen drainage tube group before surgery and at 1 day after surgery, but showed significant differences at 2, 3, and 14 days and 3 months after surgery. In the treatment group, the time for drainage liquid to become clear was 1.9±0.5 days, and no patient experienced recurrence; in the control group, the time for drainage liquid to become clear was 3.7±1.4 days, and 2 patients experienced recurrence. The time for drainage liquid to become clear and recurrence rate showed significant differences between the two groups (P<0.05).Conclusions Y-shaped double-lumen drainage tube combined with continuous perfusion is a safe, simple, and reliable method for subacute subdural hematomas.