在儿科医生中,对心室内和外心室排水之间进行比较研究,用于治疗感染后头症
Abdelaziz Abdelhamid Ismail1, Ahmed Nageeb Taha2, Hatem Ibraheem Badr2
1Faculty of Medicine, Neurosurgery Department, Mansoura University, Mansoura, Egypt. abdelaziz.ismael@yahoo.com.
概括
腹腔下神经突变 (VSGS) 是治疗儿科病人的后感染性水头 (PIH) 的一个具有成本效益的选择,其并发症率与外部腹腔排水 (EVD) 相似,但减少了住院和经济负担.
科学领域:
- 儿科神经外科 儿科神经外科
- 传染病管理 传染病管理
- 医疗器械技术 医疗器械技术
背景情况:
- 感染后的脑水 (PIH) 需要暂时的脑脊液 (CSF) 管理.
- 外腔室排水 (EVD) 和心室下关 (VSGS) 是PIH的常见临时治疗方法.
- 对于儿科PIH管理的比较数据有限,特别是在资源利用和成本效益方面.
研究的目的:
- 为了比较小儿PIH患者中VSGS与EVD的并发症,死亡率和资源成本.
- 在PIH中评估临时CSF转移技术的有效性和经济影响.
主要方法:
- 一项前性随机研究,涉及42名患有PIH的儿科患者.
- 患者被分配到VSGS (A组,n=21) 或EVD (B组,n=21) 中.
- 比较侧重于治疗时间,儿科重症监护室 (PICU) 的入院,住院时间 (LOS),并发症和死亡率.
主要成果:
- 在VSGS/EVD实施的持续时间和感染解决的时间之间观察到一个统计学上显著的差异.
- 与VSGS组相比,EVD组出现了更高的PICU入院率和更长的LOS.
- 在VSGS和EVD组之间,总体并发症数量或死亡率没有显著差异.
结论:
- 在管理PIH方面,VSGS和EVD显示出可比的并发症和死亡率.
- VSGS提供了一个更有利和更具成本效益的替代方案,减少了医疗保健系统的经济负担,特别是在发展中国家.
- 由于其经济优势和可比的安全性,建议使用VSGS作为儿科PIH的首选管理策略.
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