STBI患者行DC对预后和并发症的价值研究  

Study on the Value of DC for STBI Patients on Prognosis and Complications

作　　者：谭卫国[1] 凌晓阳 朱胜强[1] 王文华[1] TAN Wei-guo;LING Xiao-yang;ZHU Sheng-qiang;WANG Wen-hua(Department of Neurosurgery,Kunshan Traditional Chinese Medicine Hospital,Kunshan,Jiangsu Province,215300 China)

机构地区：[1]江苏省昆山市中医医院神经外科,江苏昆山215300

出　　处：《系统医学》2020年第21期95-97,共3页Systems Medicine

摘　　要：目的探究重度颅脑损伤(STBI)患者行大骨瓣减压术(DC)对患者预后和并发症的影响。方法该次研究抽选2014年9月—2019年12月内该院STBI病例79例,根据治疗方式的差异性分组,对照组(行常规骨瓣开颅术)纳入39例、研究组(行标准大骨瓣减压术)纳入40例,以治疗前后颅内压水平、神经功能缺损评分、日常生活能力评分、预后情况、并发症发生率为观察指标评估疗效。结果术后3、9 d研究组颅内压均比对照组低,差异有统计学意义(P<0.05),术后随访NIHSS评分更低,ADL评分评分更高,差异有统计学意义(P<0.05);据统计研究组的预后良好率85.00%优于对照组61.54%,且并发症发生率研究组12.50%更低,差异有统计学意义(χ^2=5.169、4.551,P<0.05)。结论针对STBI疾病患者行DC术,临床价值显著,有效降低颅内压,改善患者神经功能缺损及生活能力,提高预后。Objective To explore the effect of large bone flap decompression(DC)on prognosis and complications in patients with severe head injury(STBI).Methods In this study,from September 2014 to December 2019,79 cases of STBI cases were sampled in the hospital.According to the differences in treatment methods,the control group(routine bone flap craniotomy)was included in 39 cases.The study group(with standard large bone flap decompression craniectomy)was included in 40 patients,and the clinical efficacy was evaluated by observation indexes before and after treatment,intracranial pressure,neurological deficit score,daily living ability score,prognosis,and complication rate.Results The intracranial pressure of the study group was lower than that of the control group at 3 and 9 days after surgery(P<0.05),the NIHSS score was lower,and the ADL score was higher in the postoperative follow-up,the difference was statistically significant(P<0.05).The prognosis good rate in the statistical study group was 85.00%,which was better than that in the control group 61.54%,the difference was statistically significant(P<0.05);and the incidence of complications was 12.50%in the study group,which was lower than that in the control group,the difference was statistically significant(χ2=5.169,4.551,P<0.05).Conclusion DC surgery for patients with STBI disease has significant clinical value,which can effectively reduces intracranial pressure,improves neurological deficits and living ability,and improves prognosis.

关 键 词：STBI DC 预后 并发症 治疗效果 

分 类 号：R651[医药卫生—外科学]