大骨瓣减压手术治疗大面积脑梗塞30例临床效果探讨  

Study on Clinical Effect of Large Decompressive Craniectomy Surgery in Treatment of 30 Cases with Extensive Cerebral Infarction

作　　者：周洪 

机构地区：[1]江苏省宿迁市沭阳仁慈医院脑外科,江苏宿迁223600

出　　处：《中外医疗》2017年第15期48-50,共3页China & Foreign Medical Treatment

摘　　要：目的分析大面积脑梗塞应用大骨瓣减压手术治疗的效果。方法随机选择2014年12月—2016年11月在该院接受治疗的大面积脑梗塞患者60例参与研究,随机平均分成两组,对照组对患者进行保守治疗,观察组选择大骨瓣减压手术治疗,比较两组治疗效果。结果观察组治疗后1、3 d以及一周颅内压均低于对照组;观察组治疗后功能独立患者占43.33%,对照组为16.67%;观察组治疗后神经功能缺损评分为(12.88±2.34)分,对照组为(21.26±2.52)分;观察组并发症发生率为10.00%,对照组为13.33%。结论大骨瓣减压手术治疗大面积脑梗塞效果明显优于常规手术,能够减轻残疾程度,降低死亡率,值得推广。Objective To analyze the effect of large decompressive craniectomy surgery in treatment of 30 cases with extensive e cerebral infarction. Methods 60 cases of patients with extensive e cerebral infarction treated in our hospital from December 2014 to November 2016 were selected and randomly divided into two groups with 30 cases in each, the control group adopted the conservative treatment, while the observation group were treated with large decompressive craniectomy surgery, and the treatment effect was compared between the two groups. Results The intracranial pressure after 1d, 3d and1-week treatment in the observation group were lower than those in the control group, after treatment, the function independent patients in the observation group and in the control group was respectively 43.33% and 16.67%, after treatment, the nerve function defect score in the observation group and in the control group was respectively（12.88 ±2.34）points and（21.26±2.52）points, and the incidence rate of complications in the observation group and in the control group was respectively 10.00% and 13.33%. Conclusion The effect of large decompressive craniectomy surgery in treatment of 30 cases with extensive e cerebral infarction is better than that of routine surgery, which can relieve the disabled degree and reduce the morbidity, and it is worth promotion.

关 键 词：大面积脑梗塞 大骨瓣减压手术 治疗 

分 类 号：R5[医药卫生—内科学]