363例重型颅脑损伤患者术后早期治疗分析  

Analysis on Therapeutic Effects of Gravis Type Craniocerebral Injury in Early Stage after Operation: A Report of 363 Cases

作　　者：鲍风[1] 项高波[1] 程立仁[1] 江幸福[1] 李欢松[1] 丁东[1] 陈楠[1] 洪伟[1] 

机构地区：[1]安徽中医学院第一附属医院神经外科,安徽合肥230031

出　　处：《安徽中医学院学报》2010年第3期9-11,共3页Journal of Anhui Traditional Chinese Medical College

摘　　要：目的观察重型颅脑损伤患者术后早期综合治疗的最佳时间窗。方法将363例重型颅脑损伤术后患者按病程〈1个月、1～2^＋个月、2～3^＋个月及〉3个月分成Ⅰ组、Ⅱ组、Ⅲ组和Ⅳ组，分别进行综合治疗。并在入院时和出院时分别进行Glasgow昏迷评分（Glasgow coma scoring，GOS）和Glasgow结果评级（Glasgow outcome scoring，GCS）。结果Ⅰ组和Ⅱ组GOS评分和GCS分级显著优于Ⅲ组和Ⅳ组（P〈0．05，或P〈0．01）；Ⅰ组与Ⅱ组，Ⅲ组与Ⅳ组GOS评分和GCS分级比较，差异无显著性。结论重型颅脑损伤术后1～2个月早期综合治疗是非常重要的。Objective To observe the optimal opportunity of comprehensive therapies for gravis type craniocerebral injury. Methods Three hundreds and sixy three patients with postoperative gravis type craniocerebral injury were divided into four groups： patients with course of disease less than 1 month into group I , more than 1 month and less than 2 months into group Ⅱ, more than 2 months and less than 3 months into group Ⅲ, and more than 3 months into group Ⅳ. Patients in each group were treated with comprehensive therapies. On admission and discharge, Glasgow coma scoring （GOS） and Glasgow out- come scoring （GCS） were carried out in each patient, respectively. Results GOS and GCS values in group I and group Ⅱwere significantly higher than those in group Ⅲ and group Ⅳ（P〈0.05, or P〈0.01）. There were nonsignificant differences in GOS and GCS values between group I and groupⅡ , and be- tween group Ⅲ and groupⅣ . Conclusion Early comprehensive therapies are very important for postoper ative gravis type craniocerebral injury with course of disease less than 2 months.

关 键 词：重型颅脑损伤 综合治疗 最佳治疗时机 

分 类 号：R651.15[医药卫生—外科学]