重型颅脑损伤的临床治疗探讨
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摘要
目的研究重型颅脑损伤的临床治疗效果。方法 60例重型颅脑损伤患者,根据治疗方法不同分为对照组和治疗组,每组30例。对照组行额颞瓣或颞顶瓣开颅治疗,治疗组行标准大骨瓣开颅治疗。比较两组患者的治疗效果。结果对照组患者死亡1例,预后不良21例,预后良好8例;治疗组患者死亡2例,预后不良7例,预后良好21例;治疗组患者治疗效果优于对照组,差异具有统计学意义(P<0.05)。结论针对重型颅脑损伤患者,应用标准大骨瓣开颅治疗有着显著的效果,具有临床应用价值。
Objective To study the clinical treatment effect of severe craniocerebral injury. Methods A total of 60 patients with severe craniocerebral injury were divided by different treatment methods into control group and treatment group, with 30 cases in each group. The control group received frontotemporal or temporoparietal craniotomy, and the treatment group received standard large bone craniotomy. The treatment effect in two groups was compared. Results The control group had 1 death case, 21 poor prognosis cases and 8 good prognosis cases, while the treatment group had 2 death cases, 7 poor prognosis cases and 21 good prognosis cases. The treatment group had better treatment effect than the control group, and the difference was statistically significant(P<0.05). Conclusion For patients with severe craniocerebral injury, standard large bone flap craniotomy has significant effect and clinical application value.
Objective To study the clinical treatment effect of severe craniocerebral injury. Methods A total of 60 patients with severe craniocerebral injury were divided by different treatment methods into control group and treatment group, with 30 cases in each group. The control group received frontotemporal or temporoparietal craniotomy, and the treatment group received standard large bone craniotomy. The treatment effect in two groups was compared. Results The control group had 1 death case, 21 poor prognosis cases and 8 good prognosis cases, while the treatment group had 2 death cases, 7 poor prognosis cases and 21 good prognosis cases. The treatment group had better treatment effect than the control group, and the difference was statistically significant(P<0.05). Conclusion For patients with severe craniocerebral injury, standard large bone flap craniotomy has significant effect and clinical application value.
引文
[1]杨开华,冉启山,文远超,等.持续有创颅内压监测对重型颅脑损伤患者救治的临床价值分析.现代诊断与治疗, 2016, 27(18):3344-3345.
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[3]周劲,刘强,刘皇勇,等.重型颅脑损伤的预后影响因素分析及临床救治策略.重庆医学, 2013, 42(22):2621-2623.
[4]许晖,董江涛,王惠,等. TCD在重型颅脑损伤患者救治中的临床应用研究.中华神经外科疾病研究杂志, 2018, 17(1):76-77.
[5]张彪.重型颅脑外伤合并多发伤的救治体会.中国城乡企业卫生, 2017, 32(12):72-73.
[6]刘进.侧脑室外引流在救治急性重型原发性颅脑损伤中的应用分析.世界最新医学信息文摘(连续型电子期刊), 2017, 17(95):126-127.
[7]马军华.大骨瓣减压治疗重型颅脑损伤的临床治疗探讨.中国实用医药, 2012, 7(28):50-51.
[8]王健平.标准大骨瓣减压术治疗重型颅脑损伤的体会.中国临床神经外科杂志, 2012, 17(8):502-503.
[9]马书明,杨勇,李正杨.双侧开颅去骨瓣减压术治疗重型颅脑损伤的临床研究.激光杂志, 2014(4):67.
[10]韦英光,谭毅.重型颅脑损伤治疗的研究进展.中国临床新医学, 2013, 6(6):604-608.
[11]王辉.重型颅脑损伤患者标准大骨瓣减压的临床效果观察.现代中西医结合杂志, 2013, 22(25):2769-2770.
[12]秦福创,何国龙,金许洪.标准大骨瓣开颅减压术治疗重型颅脑损伤的体会.浙江创伤外科, 2011, 16(6):815-816.
[13]揭家广,刘金龙,张高健.标准大骨瓣与常规骨瓣减压术对重型颅脑损伤的疗效对比.中国实用神经疾病杂志, 2014, 17(21):107-109.
[14]谢振都.标准大骨瓣减压与常规骨瓣减压术治疗重型颅脑损伤对比分析.中国实用乡村医生杂志, 2014(12):61-62.
[15]侯林.标准大骨瓣减压术治疗重型颅脑损伤疗效分析.中国实用神经疾病杂志, 2013, 16(24):76-77.
[2]唐小东.重型颅脑损伤患者的临床救治对策分析.中国医药导刊, 2013, 15(10):1718-1720.
[3]周劲,刘强,刘皇勇,等.重型颅脑损伤的预后影响因素分析及临床救治策略.重庆医学, 2013, 42(22):2621-2623.
[4]许晖,董江涛,王惠,等. TCD在重型颅脑损伤患者救治中的临床应用研究.中华神经外科疾病研究杂志, 2018, 17(1):76-77.
[5]张彪.重型颅脑外伤合并多发伤的救治体会.中国城乡企业卫生, 2017, 32(12):72-73.
[6]刘进.侧脑室外引流在救治急性重型原发性颅脑损伤中的应用分析.世界最新医学信息文摘(连续型电子期刊), 2017, 17(95):126-127.
[7]马军华.大骨瓣减压治疗重型颅脑损伤的临床治疗探讨.中国实用医药, 2012, 7(28):50-51.
[8]王健平.标准大骨瓣减压术治疗重型颅脑损伤的体会.中国临床神经外科杂志, 2012, 17(8):502-503.
[9]马书明,杨勇,李正杨.双侧开颅去骨瓣减压术治疗重型颅脑损伤的临床研究.激光杂志, 2014(4):67.
[10]韦英光,谭毅.重型颅脑损伤治疗的研究进展.中国临床新医学, 2013, 6(6):604-608.
[11]王辉.重型颅脑损伤患者标准大骨瓣减压的临床效果观察.现代中西医结合杂志, 2013, 22(25):2769-2770.
[12]秦福创,何国龙,金许洪.标准大骨瓣开颅减压术治疗重型颅脑损伤的体会.浙江创伤外科, 2011, 16(6):815-816.
[13]揭家广,刘金龙,张高健.标准大骨瓣与常规骨瓣减压术对重型颅脑损伤的疗效对比.中国实用神经疾病杂志, 2014, 17(21):107-109.
[14]谢振都.标准大骨瓣减压与常规骨瓣减压术治疗重型颅脑损伤对比分析.中国实用乡村医生杂志, 2014(12):61-62.
[15]侯林.标准大骨瓣减压术治疗重型颅脑损伤疗效分析.中国实用神经疾病杂志, 2013, 16(24):76-77.