重型颅脑损伤治疗中标准外伤大骨瓣开颅术的应用效果  

Application effect of standard large traumatic craniotomy in the treatment of severe craniocerebral injury

作　　者：胡涛 周建华 HU Tao;ZHOU Jianhua(Department of Neurosurgery,People's Hospital of Caidian District,Wuhan,Hubei,430100,China)

机构地区：[1]武汉市蔡甸区人民医院神经外科,湖北武汉430100

出　　处：《当代医学》2021年第30期64-66,共3页Contemporary Medicine

摘　　要：目的分析标准外伤大骨瓣开颅术应用于重型颅脑损伤治疗的临床效果。方法选取本院2015年1月至2020年1月收治的重型颅脑损伤患者56例作为研究对象,采用随机数字法分为常规组和研究组,各28例。参照组采用常规骨瓣开颅减压手术,研究组采用标准外伤大骨瓣开颅术,比较两组临床疗效、颅内压水平、并发症发生率、神经功能缺损评分。结果研究组治疗总有效率高于常规组,差异有统计学意义(P<0.05)。术前,两组颅内压水平比较差异无统计学意义;术后1、3 d,研究组颅内压水平均低于常规组,差异有统计学意义(P<0.05)。研究组并发症发生率低于常规组,差异有统计学意义(P<0.05)。术前,两组神经功能缺损评分比较差异无统计学意义;术后,研究组神经功能缺损评分低于常规组,差异有统计学意义(P<0.05)。结论在重型颅脑损伤治疗中实施标准外伤大骨瓣开颅术效果更理想,能快速降低颅内压,有利于恢复神经功能,减少并发症发生,值得临床推广运用。Objective To analyze the clinical effect of standard large traumatic craniotomy in the treatment of severe craniocerebral injury.Methods 56 patients with severe craniocerebral injury admitted to our hospital from January 2015 to January 2020 were selected as the research sub-jects.They were divided into conventional group and study group by random number method,with 28 cases in each group.The control group was treated with conventional craniotomy and the study group was treated with standard large traumatic craniotomy.The clinical efficacy,intracranial pressure level,complication rate and neurological deficit score were compared between the two groups.Results The total effective rate of the study group was higher than that of the conventional group,and the difference was statistically significant(P<0.05).Before surgery,there was no signifi-cant difference in the level of intracranial pressure between the two groups.1 and 3 days after surgery,the intracranial pressure of the study group was lower than that of the conventional group,the difference was statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the conventional group,and the difference was statistically significant(P<0.05).Before operation,there was no signifi-cant difference in neurological deficit scores between the two groups.Postoperatively,the neurological deficit score in the study group was lower than that in the conventional group,with statistical significance(P<0.05).Conclusion In the treatment of severe craniocerebral injury,standard large traumatic craniotomy is more ideal,which can quickly reduce intracranial pressure,is conducive to the recovery of nerve function and reduce the incidence of complications,and it is worthy of clinical promotion and application.

关 键 词：重型颅脑损伤 标准外伤大骨瓣开颅术 临床疗效 

分 类 号：R651.15[医药卫生—外科学]