控制性阶梯式减压用于重型颅脑损伤手术的效果评价  

Effect Evaluation of Controlled Stepped Decompression in Severe Craniocerebral Injury Surgery

作　　者：张继洲 Zhang Jizhou(Department of Neurosurgery,Dengfeng Municipal People's Hospital,Henan Dengfeng 452470,China)

机构地区：[1]登封市人民医院神经外科

出　　处：《临床研究》2019年第10期18-20,共3页Clinical Research

摘　　要：目的分析控制性阶梯式减压用于重型颅脑损伤手术的治疗效果。方法选择2016年8月-2018年11月登封市人民医院收治的88例重型颅脑损伤患者为研究对象,以不同治疗方法分组,分参照组(采纳快速减压大骨瓣减压术治疗,44例)、研究组(采纳控制性阶梯式减压术治疗,44例)。对比两组手术指标、存活率、并发症发生率。结果研究组术中出血量以及手术时间明显比参照组更优(P<0.05);研究组存活率97.73%显著高于参照组84.09%(P<0.05);并发症发生率研究组4.55%显著比参照组20.45%低(P<0.05)。结论重度颅脑损伤患者采纳控制性阶梯式减压术治疗,可有效降低并发症发生率,提高患者存活率。Objective To analyze the therapeutic effect of controlled stepped decompression on severe craniocerebral injury surgery.Methods 88 patients with severe craniocerebral injury admitted to Dengfeng Municipal People's Hospital from August 2016 to November 2018 were selected as research objects and divided into reference group (44 cases,received rapid decompression and large bone flap decompression) and research group (44 cases,received controlled stepped decompression). The operation index,survival rate and complication rate of the two groups were compared.Results The blood loss and operation time in the study group were significantly better than those in the control group (P < 0.05).The survival rate of the study group was 97.73% significantly higher than that of the reference group 84.09%(P < 0.05).The incidence of complications in the study group was significantly lower than that in the control group (P < 0.05).Conclusion Controlled stepwise decompression for patients with severe craniocerebral injury can effectively reduce the incidence of complications and improve the survival rate of patients.

关 键 词：控制性阶梯式减压 重型颅脑损伤 治疗效果 并发症 

分 类 号：R651.15[医药卫生—外科学]