摘要
目的探讨标准大骨瓣减压术治疗重型颅脑损伤患者的临床效果。方法将2015年9月—2017年9月我院收治的60例重型颅脑损伤患者,按手术方式分为参照组(常规颞顶骨瓣开颅术)和研究组(标准大骨瓣减压术),各30例。比较两组临床治疗效果,手术前后颅内压水平和美国国立卫生院神经功能缺损评分(NIH Stroke,NIHSS),以及术后并发症发生情况。结果研究组的临床治疗效果明显优于参照组(P <0.05)。手术后,两组颅内压水平和NIHSS评分均有所下降,且研究组的下降程度大于参照组(均P <0.05)。研究组术后并发症发生率为3.33%,明显低于参照组的26.67%(P <0.05)。结论标准大骨瓣减压术治疗重型颅脑损伤可以有效降低患者颅内压、改善术后神经功能并减少并发症发生。
Objective To explore the clinical effect of standard large bone flap decompression for patients with severe craniocerebral injury. Methods60 patients with severe craniocerebral injury admitted to our hospital from September 2015 to September 2017 were divided into a reference group(conventional cranial craniotomy) and a study group(standard large cranial decompression) according to the surgical method, with 30 cases in each group. The clinical treatment effect, intracranial pressure levels and the National Institutes of Health Neurological Deficit Score(NIHSS) before and after surgery, and postoperative complications between the two groups were compared. Results The clinical treatment effect of the study group was significantly better than that of the reference group(P < 0.05). After surgery, both intracranial pressure and NIHSS scores were decreased, and the decrease in the study group was greater than that in the reference group(both P < 0.05).The postoperative complication rate was 3.33% in the study group, which was significantly lower than the 26.67% in the reference group(P < 0.05). Conclusion Standard large bone decompression for severe craniocerebral injury can effectively reduce intracranial pressure, improve postoperative neurological function and reduce complications.
引文
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