手术治疗颅脑外伤后继发性脑梗死的临床疗效分析  

Analysis of Clinical Efficacy of Surgical Treatment of Secondary Cerebral Infarction after Craniocerebral Trauma

作　　者：柴伟[1] CHAI Wei(Department of Neurosurgery,Gaochun People's Hospital,Nanjing,Jiangsu Province,211300 China)

机构地区：[1]高淳人民医院神经外科,江苏南京211300

出　　处：《中外医疗》2020年第29期67-69,共3页China & Foreign Medical Treatment

摘　　要：目的研究手术治疗方法用于颅脑外伤之后继发性脑梗死患者临床治疗过程中的疗效状况。方法方便选取2018年6月—2019年6月该医院治疗的60例颅脑外伤之后继发性脑梗死患者实施分析,开展回顾性研究,各组予以区分方式参考患者所用治疗方式差异性,将接受亚低温下手术治疗的30例患者纳入实验组,将接受药物治疗方法的30例患者纳入参比组,计算两组治疗前后颅内压测定结果、水肿体积测定结果、格拉斯哥昏迷指数测评结果。结果实验组治疗前颅内压测定结果[(25.54±3.10)mmHg]相比参比组[(25.60±3.26)mmHg],差异无统计学意义(t=0.073,P=0.942>0.05),实验组治疗后颅内压测定结果[(19.70±1.22)mmHg]相比参比组[(22.95±2.30)mmHg]减少(t=6.837,P<0.05);实验组治疗前水肿体积测定结果[(89.30±5.24)cm3]相比参比组[(89.25±5.50)cm3],差异无统计学意义(t=0.036,P=0.971>0.05),实验组治疗后水肿体积测定结果[(72.16±3.40)cm3]相比参比组[(84.20±4.17)cm3]减少,差异有统计学意义(t=14.476,P<0.05);实验组治疗前格拉斯哥昏迷指数测评结果[(6.42±0.60)分]相比参比组[(6.30±0.58)分],差异无统计学意义(t=0.787,P=0.434>0.05),实验组治疗后格拉斯哥昏迷指数测评结果[(12.40±2.13)分]相比参比组[(9.26±1.20)分]增多,差异有统计学意义(t=7.034,P<0.05)。结论为颅脑外伤之后继发性脑梗死患者选择亚低温下手术治疗方法显示较好临床治疗效果。Objective To study the effect of surgical treatment in the clinical treatment of patients with secondary cerebral infarction after traumatic brain injury.Methods From June 2018 to June 2019,60 patients with secondary cerebral infarction after craniocerebral trauma treated in the hospital were conveniently selected analyzed numerically,and retrospective research was carried out.Different groups were distinguished by referring to the differences in treatment methods used by patients.Thirty patients who received surgical treatment under mild hypothermia were included in the experimental group,and 30 patients who received medical treatment were included in the reference group.The intracranial pressure measurement results,edema volume measurement results,and Glasgow coma index evaluation results before and after treatment in the two groupswere calculated.Results The results of intracranial pressure measurement in the experimental group before treatment[(25.54±3.10)mmHg]compared with the reference group[(25.60±3.26)mmHg],the difference was not statistically significant(t=0.073,P=0.942>0.05),the intracranial pressure measurement result[(19.70±1.22)mmHg]of the experimental group after treatment was reduced compared with the reference group[(22.95±2.30)mmHg],the difference was statistically significant(t=6.837,P<0.05);The edema volume measurement result of the experimental group before treatment[(89.30±5.24)cm3]compared with the reference group[(89.25±5.50)cm3],the difference was not statistically significant(t=0.036,P=0.971>0.05),the edema volume measurement result[(72.16±3.40)cm3]of the experimental group after treatment decreased compared with the reference group[(84.20±4.17)cm3],the difference was statistically significant(t=14.476,P<0.05);treatment of the experimental group of the previous Glasgow coma index evaluation results[(6.42±0.60)points]compared with the reference group[(6.30±0.58)points],the difference was not statistically significant(t=0.787,P=0.434>0.05),the experiment group after treatment,the

关 键 词：颅脑外伤 继发性脑梗死 手术 

分 类 号：R651[医药卫生—外科学]