摘要
目的探讨双侧开颅去骨瓣减压术对重型颅脑损伤患者的临床治疗效果。方法以2014年1月~2016年1月在我院进行治疗的136例重型脑损伤患者作为研究对象,根据患者的治疗顺序将其分成观察组和对照组,各68例。观察组患者采取双侧开颅去骨瓣减压手术进行治疗,对照组患者采用常规的单侧大骨瓣开颅减压手术进行治疗。术后,比较两组患者的格拉斯哥预后评分、术后常规指标以及出现并发症的概率。结果手术治疗后,两组患者的格拉斯哥评分水平都有所提升,且观察组患者的格拉斯哥预后评分明显高于对照组患者的评分水平;观察组患者术后的血压水平、颅内压水平以及血糖水平均明显优于对照组患者,且观察组患者在术后出现并发症的概率也要显著低于对照组,差异有统计学意义(P<0.05)。结论双侧开颅去骨瓣减压手术对于重型颅脑损伤患者的治疗效果确切,且该种治疗方式对患者产生的不良影响较小,安全性高,值得在临床治疗中推广使用。
Objective To investigate the clinical effect of bilateral craniotomy and craniectomy for severe craniocerebral injury.Methods A total of 136 patients with severe brain injury who underwent treatment between January 2014 and January 2016 were divided into observation group and control group according to the order of treatment,with 68 cases in each group.patients in the observation group were treated with bilateral craniotomy and craniotomy.The patients in the control group were treated with unilateral large bone flap decompression and decompression.The two groups of patients with Glasgow prognosis score, postoperative routine indicators and the probability of complications were compared.Results The score of Glasgow in the postoperative observation group was significantly higher than that in the control group.The blood pressure level,intracranial pressure level and blood glucose level of the observation group were significantly better than those of the control group,and the observation group The probability of complications after surgery was significantly lower than that of the control group.There was significant difference between the two groups(P<0.05).Conclusion The operation of bilateral craniotomy and craniotomy is effective in the treatment of patients with severe craniocerebral injury.The adverse effects of this kind of treatment are small and safe,which is worthy of popularization in clinical treatment.
引文
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