大骨瓣开颅减压术治疗脑外伤脑肿胀的临床疗效研究  

Clinical effect of craniotomy and decompression with large bone flaps on brain swelling after traumatic brain injury

作　　者：关北漩 邓光策 李国峰 王岳华 曾敏敏 GUAN Bei-xuan;DENG Guang-ce;LI Guo-feng(Brain Department,Qingyuan People’s Hospital,Qingyuan,China)

机构地区：[1]清远市人民医院脑科一区

出　　处：《中国实用医药》2019年第30期1-3,共3页China Practical Medicine

摘　　要：目的 探讨大骨瓣开颅减压术治疗脑外伤脑肿胀的临床疗效.方法 133例脑外伤脑肿胀患者,随机分为大骨瓣开颅减压术组(67例)和传统开颅手术组(66例).传统开颅手术组采用传统开颅手术治疗,大骨瓣开颅减压术组采用大骨瓣开颅减压术治疗.比较两组患者手术开展时间、恢复清醒时间、格拉斯哥预后评分,治疗前后神经功能评分及生存质量评分,并发症发生情况.结果 治疗前,两组神经功能评分以及生存质量评分比较差异无统计学意义(P>0.05);治疗后,大骨瓣开颅减压术组神经功能评分及生存质量评分优于传统开颅手术组,差异有统计学意义(P<0.05).大骨瓣开颅减压术组手术开展时间(51.89±2.25)min、恢复清醒时间(141.02±12.12)h均短于传统开颅手术组的(72.67±6.13)min、(212.14±16.24)h,格拉斯哥预后评分(4.21±0.12)分高于传统开颅手术组的(3.62±0.11)分,差异有统计学意义(P<0.05).大骨瓣开颅减压术组并发症发生率2.99% 低于传统开颅手术组的15.15%,差异有统计学意义(P<0.05).结论 脑外伤脑肿胀患者实施大骨瓣开颅减压术可获得较好效果.Objective To discuss the clinical efficacy of craniotomy and decompression with large bone flaps on brain swelling after traumatic brain injury.Methods A total of 133 patients with brain swelling after traumatic brain injury were randomly divided into craniotomy and decompression with large bone flaps group(67 cases)and traditional craniotomy and decompression group(66 cases).The traditional craniotomy and decompression group was treated with traditional craniotomy and decompression,and craniotomy and decompression with large bone flaps group was treated with craniotomy and decompression with large bone flaps group.Comparison was made on operation time,awake time,Glasgow prognosis score,neurological function score and quality of life score before and after treatment,and occurrence of complications between the two groups.Results Before treatment,there was no statistically significant difference in neurological function score and quality of life score between the two groups(P>0.05).After treatment,the neurological function score and quality of life score in craniotomy and decompression with large bone flaps group was higher than those in the traditional craniotomy and decompression group,and the difference was statistically significant(P<0.05).The operation time(51.89±2.25)min,awake time(141.02±12.12)h in craniotomy and decompression with large bone flaps group was shorter than(72.67±6.13)min and(212.14±16.24)h in traditional craniotomy and decompression group.The Glasgow prognosis score(4.21±0.12)points in craniotomy and decompression with large bone flaps group was higher than(3.62±0.11)points in traditional craniotomy and decompression group.Their difference was statistically significant(P<0.05).The incidence of complications was 2.99%in craniotomy and decompression with large bone flaps group,which was lower than 15.15%in traditional craniotomy and decompression group,and the difference was statistically significant(P<0.05).Conclusion Craniotomy and decompression with large bone flaps provides good effect

关 键 词：大骨瓣开颅减压术 脑外伤 脑肿胀 临床疗效 

分 类 号：R65[医药卫生—外科学]