标准外伤大骨瓣开颅术治疗重型颅脑损伤患者的效果及对满意度和神经功能的影响  

Effect of Standard Large Traumatic Craniotomy on Patients with Severe Craniocerebral Injury and Its Influence on Satisfaction and Neurological Function

作　　者：徐俊 邓科 黄洪春 XU Jun;DENG Ke;HUANG Hongchun(Ruijin People’s Hospital,Jiangxi Province,Ruijin 342500,China;不详)

机构地区：[1]江西省瑞金市人民医院,江西瑞金342500

出　　处：《中国医学创新》2022年第22期148-151,共4页Medical Innovation of China

摘　　要：目的:探讨标准外伤大骨瓣开颅术治疗重型颅脑损伤患者的效果及对满意度和神经功能的影响。方法:选取2018年1月-2019年12月瑞金市人民医院收治的70例重型颅脑损伤患者,按照随机数字表法将其分为两组,每组35例。对照组接受常规的骨瓣开颅术治疗,研究组则接受标准外伤大骨瓣开颅术治疗。比较两组预后、神经功能缺损评分(NIHSS评分)、并发症发生情况和满意度。结果:研究组良好率、中残率均高于对照组,重残率、死亡率均低于对照组,差异均有统计学意义(P<0.05)。术后1个月,研究组NIHSS评分低于对照组,差异有统计学意义(P<0.05)。研究组脑切口疝、脑积水、硬膜下积液、切口脑脊液漏发生率均低于对照组,差异均有统计学意义(P<0.05)。研究组满意度高于对照组,差异有统计学意义(P<0.05)。结论:应用标准外伤大骨瓣开颅术治疗可以有效改善重型颅脑损伤患者的神经功能指标,持续降低并发症的发生率,安全性高,治疗满意度高,增强其临床治疗效果,值得推广应用。Objective:To investigate the effect of standard large traumatic craniotomy on severe craniocerebral injury patient and its influence on satisfaction and neurological function.Method:A total of 70 patients with severe craniocerebral injury admitted to Ruijin People’s Hospital from January 2018 to December 2019 were selected,they were divided into two groups according to random number table method,with 35 patients in each group.The control group received conventional craniotomy,and the study group received standard large traumatic craniotomy.The prognosis,neurological deficit score (NIHSS score),complications and satisfaction were compared between two groups.Result:The rates of good disability and moderate disability in the study group were higher than those in the control group,while the rates of severe disability and mortality in the study group were lower than those in the control group,the differences were statistically significant (P<0.05).1 month after surgery,the NIHSS score in the study group was lower than that in the control group,the difference was statistically significant (P<0.05).The incidence of incisional hernia,hydrocephalus,subdural effusion and cerebrospinal fluid leakage in the study group were lower than those in the control group,the differences were statistically significant (P<0.05).The satisfaction of the study group was higher than that of the control group,the difference was statistically significant (P<0.05).Conclusion:The application of standard large traumatic craniotomy can effectively improve the neurological function index of patients with severe craniocerebral injury,continuously reduce the incidence of complications,high safety,high treatment satisfaction,enhance the clinical treatment effect,worthy of popularization and application.

关 键 词：标准外伤大骨瓣开颅术 重型颅脑损伤 满意度 神经功能 

分 类 号：R651.15[医药卫生—外科学]