重型颅脑损伤术中脑组织失活程度判定  

Degree Judgment of Brain Tissue Inactivation in Severe Craniocerebral In-jury

作　　者：王茂凯 任日军 刘京平 吴杰 刘文涛 黄宝青 

机构地区：[1]青岛市胶州中心医院神经外科,山东青岛266300

出　　处：《中外医疗》2015年第33期72-74,共3页China & Foreign Medical Treatment

摘　　要：目的对重型颅脑损伤术中脑组织失活程度的判断及对预后的影响进行分析探讨。方法整群选取该院2013年1月—2015年1月收治的90例脑挫裂伤患者,随机分为对照组与观察组,对照组45例患者彻底清除挫伤组织,观察组45例患者尽量减少挫伤组织损伤的清除,对比两组患者预后效果。结果观察组的住院时间、脑水肿评分及SSS评分为:(36.58±4.32)d、(2.88±0.07)分、(41.76±3.25)分,对照组为:(28.03±3.47)d、(3.74±0.11)分、(37.79±2.69)分,组间比较差异有统计学意义(P<0.05)。结论对脑挫裂伤患者进行手术过程中,尽量的保留脑挫伤组织有利于提高手术效果,促进患者预后,值得临床推广。Objective To judge the degree of brain tissue inactivation in severe craniocerebral injury and analyze and dis-cuss its prognosis effect. Methods 90 cases of patients with cerebral contusion and laceration treated in our hospital from January 2013 to January 2015 were randomly divided into control group and observation group with 45 cases in each, the control group were given thorough removal of contusion tissue, and the observation group tried to reduce the removal of con-tusion tissue, prognosis effects of the two groups were compared. Results Length of stay, cerebral edema score and SSS score in the observation group were respectively （36.58±4.32）days,（2.88±0.07）points and（41.76±3.25）points and （28.03± 3.47）days,（3.74±0.11）points and（37.79±2.69）points in the control group, the comparison between the two groups were ob-viously different （P〈0.05）. Conclusion In the process of operation for patients with cerebral contusion and laceration, it will improve the operation effect and promote the prognosis of the patients trying to retain brain contusion tissue which is worth promoting.

关 键 词：重型 颅脑损伤 脑组织失活 

分 类 号：R651.15[医药卫生—外科学]