分析控制性阶梯式减压应用于重型颅脑损伤手术  

Analysis of the application of controlled stepped decompression in severe craniocerebral injury surgery

作　　者：刁正文 陈卉[1] 周长清[1] 李智慧[1] DIAO Zheng-wen, CHEN Hui, ZHOU Chang-qing, LI Zhi-hui(Department of neurosurgery,ya＇ an people＇s hospital,Sichuan province,Sichuan ya＇an 625000,Chin)

机构地区：[1]四川省雅安市人民医院神经外科,四川雅安625000

出　　处：《临床医药文献电子杂志》2018年第46期1-2,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的分析对重型颅脑损伤患者开颅手术应用控制性阶梯式减压的临床疗效。方法抽取在我院接受治疗的需开颅行去大骨瓣减压术的重型颅脑损伤患者68例作为研究对象,根据治疗方法的不同将其分为对照组、研究组,对照组实施快速减压术,研究组实施控制性阶梯式减压术,对两组患者手术情况进行比较分析。结果研究组在手术时间、手术出血量及并发症方面明显低于对照组,在患者预后方面明显高于对照组,差异均存在统计学意义(P<0.05)。结论对重型颅脑损伤患者实施控制性阶梯式大骨瓣减压术,可有效降低并发症发生率,改善患者预后,应用价值显著。Objective To analyze the clinical efficacy of controlled stepped decompression for craniotomy for patients with severe craniocerebral injury. Methods Selected in our hospital to accept the treatment of craniotomy decompressive craniectomy in patients with severe craniocerebral injury in 68 cases as the research object,according to the different treatment methods will be divided into control group and study group,contxol group to implement rapid decompression,the research group received control ladder decompression of the two groups were compared the operation conditions of patients. Results The operative time, bleeding volume and complications in the study group were significantly lower than those in the control group, and the prognosis in the study group was significantly higher than that in the control group,the difference was statistically significant（P〈0.05）. Conclusion Controlled ladder type large bone flap decompression can effectively reduce the incidence of complications and improve the prognosis of patients with severe craniocerebral injury.

关 键 词：重型颅脑损伤 控制性阶梯式减压 手术指标 应用价值 并发症 

分 类 号：R742[医药卫生—神经病学与精神病学]