不同手术方法治疗颅脑损伤的应用效果研究
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摘要
目的探究颅脑损伤患者采用不同手术方法治疗的效果。方法选择2016年7月—2017年7月我院颅脑损伤患者70例作为研究对象。采用随机数字表法,将其分为实验组与参照组,每组各35例。参照组采用开颅手术模式,实验组应用微创血肿清除术,对比两种手术形式的临床效果。结果实验组格拉斯哥昏迷指数为(8.95±0.55)分,参照组格拉斯哥昏迷指数为(6.04±0.81)分,实验组颅内压为(18.04±3.44)mmHg,参照组颅内压为(26.71±4.73)mmHg,实验组格拉斯哥昏迷指数、颅内压高于参照组,实验组颅脑损伤手术临床治疗总有效率(94.29%)及满意率(88.57%)均高于参照组(71.43%、57.14%),两组比较,差异具有统计学意义(P <0.05)。结论颅脑损伤患者采用微创血肿清除术临床治疗效果较好。
Objective To explore the effect of different surgical methods in patients with craniocerebral injury. Methods 70 patients with craniocerebral injury in our hospital from July 2016 to July 2017 were selected and randomly divided into experimental group and reference group, 35 cases in each group. The patients in the control group were treated with craniotomy,and the experimental group was treated with minimally invasive evacuation of hematoma. The clinical effects of 2 kinds of operative methods were compared. Results In the experimental group, the Glasgow coma index was(8.95±0.55) points; in the reference group, the Glasgow coma index was(6.04±0.81) points; in the experimental group, the intracranial pressure was(18.04±3.44) mmHg; in the reference group, the intracranial pressure was(26.71±4.73) mmHg. The Glasgow coma index and intracranial pressure in the experimental group were significantly higher than those of the reference group. The total effective rate(94.29%) and the satisfaction rate(88.57%)in the experimental group were higher than those of the reference group(71.43%, 57.14%). the difference was statistically significant(P<0.05).Conclusion Minimally invasive evacuation of hematoma in patients with craniocerebral injury is effective.
Objective To explore the effect of different surgical methods in patients with craniocerebral injury. Methods 70 patients with craniocerebral injury in our hospital from July 2016 to July 2017 were selected and randomly divided into experimental group and reference group, 35 cases in each group. The patients in the control group were treated with craniotomy,and the experimental group was treated with minimally invasive evacuation of hematoma. The clinical effects of 2 kinds of operative methods were compared. Results In the experimental group, the Glasgow coma index was(8.95±0.55) points; in the reference group, the Glasgow coma index was(6.04±0.81) points; in the experimental group, the intracranial pressure was(18.04±3.44) mmHg; in the reference group, the intracranial pressure was(26.71±4.73) mmHg. The Glasgow coma index and intracranial pressure in the experimental group were significantly higher than those of the reference group. The total effective rate(94.29%) and the satisfaction rate(88.57%)in the experimental group were higher than those of the reference group(71.43%, 57.14%). the difference was statistically significant(P<0.05).Conclusion Minimally invasive evacuation of hematoma in patients with craniocerebral injury is effective.
引文
[1]吉健勇,洪良春.不同手术治疗方法对急性颅脑损伤的疗效对比研究[J].西南国防医药,2016,26(7):754-756.
[2]孙德举,苏美.不同手术方法治疗颅脑损伤去骨瓣减压术后脑积水疗效比较[J].中国医药科学,2016,6(6):115-117.
[3]张英亮,高信京,宋树新.不同去骨瓣减压手术治疗重型颅脑损伤的临床效果观察[J].转化医学电子杂志,2016,3(11):23-24.
[4]陈小红.不同手术方法治疗重型对冲性颅脑损伤的临床效果比较研究[J].临床合理用药杂志,2017,10(6):155-156.
[5]叶金海,魏林平,欧兰珍,等.不同手术方式治疗重型、特重型颅脑损伤并小脑幕切迹疝效果比较[J].河南医学研究,2016,25(6):1031-1032.
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[7]吴信光,张国志.不同手术方式治疗颅脑损伤去骨瓣术后交通性脑积水的疗效观察[J].广西医科大学学报,2016,33(4):694-696.
[8]翟瑞华,张钦朴,袁素萍,等.重型颅脑损伤开颅术后高压氧治疗的临床效果研究[J].中国继续医学教育,2016,8(27):82-83.
[9]孔存帅.不同手术方法治疗重型对冲性颅脑损伤的效果分析[J].河南医学研究,2016,25(7):1308-1309.
[10]赵兴昌,赵国文,崔拥国.开放性颅脑损伤手术治疗的效果研究[J].世界最新医学信息文摘(连续型电子期刊),2016,16(74):67.
[11]袁强辉,魏林平,陈英娇.标准外伤大骨瓣开颅术治疗重型颅脑损伤的应用及临床疗效评定[J].泰山医学院学报,2017,38(1):87-88.
[12]甘正凯.不同手术方式对颅脑损伤的治疗效果及安全性分析[J].医学理论与实践,2016,29(11):1446-1447.
[2]孙德举,苏美.不同手术方法治疗颅脑损伤去骨瓣减压术后脑积水疗效比较[J].中国医药科学,2016,6(6):115-117.
[3]张英亮,高信京,宋树新.不同去骨瓣减压手术治疗重型颅脑损伤的临床效果观察[J].转化医学电子杂志,2016,3(11):23-24.
[4]陈小红.不同手术方法治疗重型对冲性颅脑损伤的临床效果比较研究[J].临床合理用药杂志,2017,10(6):155-156.
[5]叶金海,魏林平,欧兰珍,等.不同手术方式治疗重型、特重型颅脑损伤并小脑幕切迹疝效果比较[J].河南医学研究,2016,25(6):1031-1032.
[6]关北漩.不同手术方法对重型对冲性颅脑损伤的临床疗效观察[J].现代诊断与治疗,2016,27(4):742-743.
[7]吴信光,张国志.不同手术方式治疗颅脑损伤去骨瓣术后交通性脑积水的疗效观察[J].广西医科大学学报,2016,33(4):694-696.
[8]翟瑞华,张钦朴,袁素萍,等.重型颅脑损伤开颅术后高压氧治疗的临床效果研究[J].中国继续医学教育,2016,8(27):82-83.
[9]孔存帅.不同手术方法治疗重型对冲性颅脑损伤的效果分析[J].河南医学研究,2016,25(7):1308-1309.
[10]赵兴昌,赵国文,崔拥国.开放性颅脑损伤手术治疗的效果研究[J].世界最新医学信息文摘(连续型电子期刊),2016,16(74):67.
[11]袁强辉,魏林平,陈英娇.标准外伤大骨瓣开颅术治疗重型颅脑损伤的应用及临床疗效评定[J].泰山医学院学报,2017,38(1):87-88.
[12]甘正凯.不同手术方式对颅脑损伤的治疗效果及安全性分析[J].医学理论与实践,2016,29(11):1446-1447.