不同时期颅骨修补术对颅脑损伤患者术后神经功能的影响研究  

Study on influence of cranial repair at different stages on postoperative nerve function in patients with craniocerebral injury

作　　者：徐涛[1] 王永波[1] 万文超 潘志华 XU Tao;WANG Yongbo;WAN Wenchao;PAN Zhihua(First Hospital of Nanchang City,Nanchang330008,China)

机构地区：[1]南昌市第一医院,江西南昌330008

出　　处：《中国现代医生》2020年第30期61-64,共4页China Modern Doctor

摘　　要：目的探讨不同时期颅骨修补术对颅脑损伤患者术后神经功能的影响。方法选取我院在2013年1月~2020年1月收治的60例颅脑损伤患者为研究对象,随机分为早期组(n=30)与晚期组(n=30),分别予以早期、晚期颅骨修补术;比较两组患者的治疗效果、神经功能、日常生活活动能力及并发症发生情况。结果(1)早期组优良率为86.67%,明显高于晚期组的60.00%(P<0.05)。(2)早期组与晚期组术前NIHSS评分比较,差异无统计学意义(P>0.05),两组术后NIHSS评分均明显低于术前,且早期组明显低于晚期组(P<0.05)。(3)早期组与晚期组术前Barthel指数比较,差异无统计学意义(P>0.05),两组术后Barthel指数均明显高于术前,且早期组明显高于晚期组(P<0.05)。(4)早期组并发症总发生率为10.00%,明显低于晚期组的23.33%(P<0.05)。结论对颅脑损伤患者早期予以颅骨修补术治疗可获得更好的治疗效果,能够明显改善患者神经功能,提高日常生活活动能力,减少并发症的发生。Objective To explore the influence of cranial repair at different stages on postoperative nerve function of patients with craniocerebral injury.Methods A total of 60 patients with craniocerebral injury who were admitted to our hospital from January 2013 to January 2020 were selected as the research objects and randomly divided into the early group(n=30)and the late group(n=30)for early and late cranial repair respectively.The therapeutic effects,neurological functions,abilities of daily living and complications were observed and compared between the two groups.Results(1)The good rate in the early group was 86.67%,which was significantly higher than 60.00%in the late group(P<0.05).(2)No significant difference in the preoperative NIHSS score was observed between the early group and the late group(P>0.05).Postoperative NIHSS scores of the two groups were significantly lower than those before surgery,and the score in the early group was significantly lower than that in the late group(P<0.05).(3)No significant difference in the Barthel index before surgery was observed between the early group and the late group(P>0.05).The Barthel indexes after surgery were significantly higher in both groups than those before surgery,and the Barthel index in the early group was significantly higher than that in the late group(P<0.05).(4)The total complication rate of the early group was 10.00%,which was significantly lower than 23.33%of the late group(P<0.05).Conclusion Cranial repair in the early stage of craniocerebral injury patients can achieve better therapeutic effect,significantly improve the neurological function and abilities of daily living of patients,and reduce the incidence of complications.

关 键 词：不同时期 颅骨修补术 颅脑损伤 神经功能 

分 类 号：R651.1[医药卫生—外科学]