手术治疗外伤性多发性颅内血肿的临床分析  

Clinical Analysis of Surgical Treatment of Traumatic Multiple Intracranial Hematoma

作　　者：饶辉[1] RAO Hui(Department of Neurosurgery,Xiaogan Central Hospital,Xiaogan Hubei 432100,China)

机构地区：[1]孝感市中心医院神经外科,湖北孝感432000

出　　处：《中国继续医学教育》2021年第34期167-171,共5页China Continuing Medical Education

摘　　要：目的分析手术治疗外伤性多发性颅内血肿的临床疗效。方法选取我院2018年8月—2019年12月收治的行手术治疗外伤性多发性颅内血肿患者92例,随机数字表法将其均分为观察组和对照组,每组46例。两组患者均使用相应对症治疗,对照组使用双侧开颅手术治疗,观察组使用具有针对性的手术治疗,比较两组患者在治疗前后的GOS(格拉斯哥预后量表)评分、GCS(格拉斯哥昏迷指数)评分、认知功能以及运动功能。结果治疗前,观察组GOS评分(2.15±0.23)分、GCS评分(8.52±1.43)分、认知功能(5.56±0.68)分、运动功能(68.38±8.65)分VS对照组GOS评分(2.17±0.21)分、GCS评分(8.49±1.40)分、认知功能(5.53±0.72)分、运动功能(68.41±8.61)分,差异均不具有统计学意义(P>0.05);治疗后,两组GOS评分、GCS评分、认知功能、运动功能均较治疗前上升,观察组GOS评分(4.41±0.35)分、GCS评分(13.67±0.56)分、认知功能(8.83±1.01)分、运动功能(86.42±5.65)分均高于对照组GOS评分(3.54±0.47)分、GCS评分(11.59±1.05)分、认知功能(7.81±1.42)分、运动功能(76.15±7.42)分,差异均具有统计学意义(P<0.05)。结论对外伤性多发性颅内血肿患者使用具有针对性的手术治疗能够有效改善患者的GOS评分与GCS评分,提升患者的认知功能以及运动功能,临床应用效果显著,可广泛在临床推广使用。Objective To analyze the clinical effect of surgical treatment of traumatic multiple intracranial hematoma.Methods 92 patients with traumatic multiple intracranial hematoma treated in our hospital from August 2018 to December 2019 were selected and randomly divided into observation group and control group,with 46 cases in each group.The control group was treated with bilateral craniotomy,and the observation group was treated with targeted surgical treatment.The GOS(Glasgow prognosis scale)score,GCS(Glasgow Coma index)score,cognitive function and motor function of the two groups were compared before and after treatment.Results Before treatment,there were no significant differences in gos score(2.15±0.23)points,GCS score(8.52±1.43)points,cognitive function(5.56±0.68)points,motor function(68.38±8.65)points in the observation group vs gos score(2.17±0.21)points,GCS score(8.49±1.40)points,cognitive function(5.53±0.72)points and motor function(68.41±8.61)points in the observation group,and the differences were not statistically significant(P>0.05)The GOS score,GCS score,cognitive function and motor function of the observation group were higher than those before treatment.Gos score(4.41±0.35)points,GCS score(13.67±0.56)points,cognitive function(8.83±1.01)and motor function(86.42±5.65)in the observation group were higher than those in the control group(3.54±0.47)points,GCS(11.59±1.05)points,cognitive function(7.81±1.42)and motor function(76.15±7.42)points.The differences were statistically significant(P<0.05).Conclusion targeted surgical treatment for patients with traumatic multiple intracranial hematoma can effectively improve the GOS score and GCS score,enhance the cognitive function and motor function of the patients,with significant clinical application effect,which can be widely used in clinical practice.

关 键 词：手术治疗 外伤性 多发性 颅内血肿 GOS评分 GCS评分 临床疗效 

分 类 号：R651[医药卫生—外科学]