目的：探讨动脉血管内栓塞治疗术对蛛网膜下腔出血（SAH）患者脑血管痉挛程度及短期预后的影响。方法：将79例SAH患者按照治疗方法分为闭夹组41例和栓塞组38例，比较两组脑脊液氧合血红蛋白（HbO₂）含量、大脑中动脉平均血流速度，术后第30天对两组预后进行评估。结果：两组脑脊液HbO₂含量随时间延长逐渐降低，其中栓塞组脑脊液HbO₂含量明显低于闭夹组（P<0.05）。两组大脑中动脉平均血流速度、血管痉挛指数（LDGI）随时间延长逐渐升高，至发病后第7天达峰值，之后逐渐降低；发病后第5、7、14天栓塞组大脑中动脉平均血流速度、LDGI显著低于闭夹组（P<0.05）。栓塞组大脑中动脉血管痉挛持续时间明显短于闭夹组（P<0.05）。结论：动脉血管内栓塞治疗术对ASH患者短期预后优于动脉瘤夹闭术。

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