重型颅脑损伤患者采用高压氧联合标准外伤大骨瓣减压术的疗效及并发症发生率分析  

Analysis of the Efficacy and Complication Rate of Hyperbaric Oxygen Combined with Standard Trauma Decompressive Craniectomy in Patients with Severe Craniocerebral Injury

作　　者：杨泗华 房秀友[1] 万发波 YANG Sihua;FANG Xiuyou;WAN Fabo(Department of Neurosurgery,Ganyu District People's Hospital,Lianyungang,Jiangsu Province,222100 China)

机构地区：[1]江苏省连云港市赣榆区人民医院神经外科,江苏连云港222100

出　　处：《中外医疗》2022年第12期66-69,共4页China & Foreign Medical Treatment

摘　　要：目的探析重型颅脑损伤患者接受高压氧联合标准外伤大骨瓣减压术的疗效及并发症发生风险。方法随机选择2018年1月—2021年7月该院收治的80例重型颅脑损伤患者,以数字表法为依据分为观察组和对照组,各40例,对照组实施标准外伤大骨瓣减压手术治疗,观察组实施高压氧联合标准外伤大骨瓣减压术治疗,对比两组颅内压、GCS评分变化,评估患者预后恢复、并发症发生情况及SSS评分。结果治疗后,观察组患者颅内压(14.72±2.33)mmHg低于对照组,GCS评分(10.68±3.21)分高于对照组,差异有统计学意义(P<0.05);观察组预后良好率72.50%显著高于对照组,差异有统计学意义(χ^(2)=4.266,P<0.05);观察组发生颅内感染、术后再出血、脑切口疝、癫痫等并发症患者5例,发生率为12.50%,显著低于对照组,差异有统计学意义(P<0.05);观察组经干预,SSS评分为(21.39±3.61)分显著低于对照组,差异有统计学意义(P<0.05)。结论重型颅脑损伤患者经高压氧联合标准外伤大骨瓣减压术治疗,临床疗效较为理想,降低了患者的术后并发症发生率。Objective To explore the efficacy and complication risk of hyperbaric oxygen combined with standard trauma decompressive craniectomy in patients with severe craniocerebral injury.Methods 80 patients with severe craniocerebral injury who were admitted to the hospital from January 2018 to July 2021 were randomly selected and divided into an observation group and a control group based on the numerical table method,with 40 cases in each group.The control group received standard trauma decompressive craniectomy,the observation group received hyperbaric oxygen combined with standard trauma decompressive craniectomy.The changes of intracranial pressure and GCS score were compared between the two groups,and the prognosis and recovery of the patients,the occurrence of complications and SSS score were evaluated.Results After treatment,the intracranial pressure(14.72±2.33)mmHg in the observation group was lower than that in the control group,and the GCS score(10.68±3.21)points in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05);the good prognosis rate of the observation group was 72.50%,which was significantly higher than that of the control group,and the difference was statistically significant(χ^(2)=4.266,P<0.05);in the observation group,there were 5 patients with complications such as intracranial infection,postoperative rebleeding,brain incisional hernia and epilepsy,the incidence rate was 12.50%,which was significantly lower than that in the control group,and the difference was statistically significant(P<0.05);after intervention,the SSS score of the observation group was(21.39±3.61)points,which was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Hyperbaric oxygen combined with standard trauma decompressive craniectomy for severe craniocerebral injury has an ideal clinical effect and reduces the incidence of postoperative complications.

关 键 词：高压氧 重型颅脑损伤 标准外伤大骨瓣减压术 疗效 并发症 

分 类 号：R4[医药卫生—临床医学]