扩大标准外伤大骨瓣开颅术对于重型颅脑损伤患者的影响  

Effect of Extended Standard Large Trauma Craniotomy on Patients with Severe Craniocerebral Injury

作　　者：谢卫增 XIE Weizeng(Ningjin Hospital of Traditional Chinese Medicine,Dezhou 253400,China)

机构地区：[1]山东省宁津县中医院,山东德州253400

出　　处：《中国医药指南》2021年第36期73-74,77,共3页Guide of China Medicine

摘　　要：目的探究扩大标准外伤大骨瓣开颅术对重型颅脑损伤患者的影响。方法抽取60例2018年2月至2019年2月于我院行开颅术的重型颅脑损伤患者为研究样本,并依据手术方式的差异将其分为扩大组(行扩大标准外伤大骨瓣开颅术)和标准组(行标准外伤大骨瓣开颅术),各30例。比较两组术后颅内压、格拉斯哥结局量表(GOS)评分变化情况、并发症发生率及生活质量。结果手术治疗后,扩大组术后GOS评分为(4.01±0.54)分,明显高于标准组的(3.11±0.77)分,组间差异有统计学意义(P<0.05);扩大组颅内压术前为(34.23±4.51)mm Hg,标准组颅内压为(32.97±4.86)mm Hg,差异无统计学意义(P>0.05);术后扩大组颅内压为(15.77±2.87)mm Hg,明显低于标准组的(20.63±3.46)mm Hg,组间差异有统计学意义(P<0.01);扩大组并发症发生率(6.67%)明显低于标准组(26.67%),组间差异有统计学意义(P<0.05)。扩大组社会、生理、心理、独立、精力、信仰评分均高于标准组,组间差异有统计学意义(P<0.05)。结论扩大标准外伤大骨瓣开颅术对重型颅脑损伤患者的影响较大,可有效降低患者颅内压,提高GOS评分,同时减少并发症的发生,治疗效果较好。Objective To explore the effect of extended standard large trauma craniotomy on patients with severe craniocerebral injury.Methods A total of 60 patients with severe craniocerebral injury who underwent craniotomy in our hospital from February 2018 to February 2019 were selected as the research samples,and they were divided into expanded group(extended standard large trauma craniotomy)and standard group(standard large trauma craniotomy),with 30 patients in each group.The changes of postoperative intracranial pressure,Glasgow prognosis scale(GOS),incidence of complications and quality of life were compared and analyzed between the two groups.Results After surgical treatment,the postoperative gos score of the expanded group(4.01±0.54)was significantly higher than that of the standard group(3.11±0.77).There was significant difference between the two groups(P<0.05).There was no significant difference in intracranial pressure between the expanded group(34.23±4.51)mm Hg and the standard group(32.97±4.86)mm Hg(P>0.05);The intracranial pressure in the expanded group(15.77±2.87)mm Hg was significantly lower than that in the standard group(20.63±3.46)mm Hg.At the same time,the incidence of complications in the expanded group(6.67%)was significantly lower than that in the standard group(26.67%).There was significant difference between the groups(P<0.05).The social,physical,psychological,independence,energy,and beliefs of the expanded group were higher than those of the standard group,and the difference between the groups was statistically significant(P<0.05).Conclusion Extended standard large trauma craniotomy has a great impact on patients with severe craniocerebral injury.It can effectively reduce intracranial pressure,improve GOS score,reduce complications and have a good therapeutic effect.

关 键 词：颅脑损伤 重型 扩大标准 外伤大骨瓣开颅术 并发症 生活质量 

分 类 号：R651.15[医药卫生—外科学]