控制性减压术对中老年重型颅脑损伤的治疗效果评价  

Evaluation of the therapeutic effect of controlled decompression on severe craniocerebral injury in middle and old-age patients

作　　者：韦刚 罗毅 蒙孟 WEI Gang;LUO Yi;MENG Meng(Dept,of Neurosurgery,Liuzhou Hospital of Traditional Chinese Medicine,Liuzhou 545001,China)

机构地区：[1]柳州市中医医院神经外科,广西柳州545001

出　　处：《华夏医学》2019年第4期72-75,共4页Acta Medicinae Sinica

摘　　要：目的:探讨控制性减压术对中老年重型颅脑损伤的治疗效果。方法:选取在我院就诊的75例中老年重型颅脑损伤患者作为研究对象。将其随机分为对照组(n=37)和研究组(n=38),对照组患者接受大骨瓣减压术,研究组患者接受控制性减压术,比较两组患者治疗后的并发症情况以及手术前、手术1d后以及1个月后3个阶段颅内压。结果:研究组并发症的发生率(5.26%)明显低于对照组(29.73%);术前两组患者颅内压水平无统计学意义(P>0.05),手术1天后以及1个月后,研究组患者的颅内压水平均明显优于对照组,差异具有统计学意义(P<0.05)。结论:对中老年重型颅脑损伤患者实施控制性减压术的治疗效果明显,能有效降低术后并发症的发生概率,值得临床推广。Objective:To investigate the therapeutic effect of controlled decompression on severe craniocerebral injury in middle and old age patients.Methods:75 patients with severe craniocerebral injury in our hospital were selected as the subjects,who were randomized into the control group(n=37)and study group(n=38).Patients in the control group received large bone flap decompression;while patients in the study group received controlled decompression.Then,the complications and intracranial pressure of patients were compared before surgery,1 day and 1 month after surgeries were compared between both groups.Results:The incidence of complications in the study group was 5.26%,significantly lower than 29.73%of the control group.There was no statistical significance of intracranial pressure level before surgery between both groups(P>0.05).1 day and 1 month after surgery,the average intracranial pressure in the study group was significantly better than that in the control group,which was of statistically significant(P<0.05).Conclusion:For middle and old age patients with severe craniocerebral injury,controlled decompression can gain obvious therapeutic effect,effectively reduce the incidence of postoperative complications,and it is worthy of clinical promotion.

关 键 词：控制性减压术 中老年患者 重型颅脑损伤 

分 类 号：R651.15[医药卫生—外科学]