标准外伤大骨瓣开颅术与常规骨瓣开颅术治疗重型颅脑损伤的效果分析  

Analysis on Effects of Standard Trauma Large Bone Flap Craniotomy and Conventional Bone Flap Craniotomy in Treatment of Severe Craniocerebral Injury

作　　者：孙海业 王华卿[2] Sun Hai-ye;Wang Hua-qing(Pingdu Hospital of Traditional Chinese Medicine1,Qingdao 266700,Shandong Province,China;Pingdu People's Hospital2,Qingdao 266700,Shandong Province,China)

机构地区：[1]平度市中医医院,山东青岛266700 [2]平度市人民医院,山东青岛266700

出　　处：《中国社区医师》2022年第26期16-18,共3页Chinese Community Doctors

摘　　要：目的:分析标准外伤大骨瓣开颅术与常规骨瓣开颅术治疗重型颅脑损伤的效果。方法:选取2016年1月-2020年12月平度市中医医院收治的100例重型颅脑损伤患者作为研究对象,采用电脑随机方式分为两组,各50例。对照组实施常规骨瓣开颅术治疗,观察组实施标准外伤大骨瓣开颅术治疗。比较两组美国国立卫生院卒中量表(NIHSS)评分、颅内压水平及并发症发生率。结果:术前,两组NIHSS评分比较,差异无统计学意义(P>0.05);术后1个月,观察组NIHSS评分低于对照组,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(P>0.05);术后3 d、7 d,观察组颅内压水平均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:标准外伤大骨瓣开颅术治疗重型颅脑损伤比常规骨瓣开颅术更具优势,可改善患者神经功能缺损情况,降低颅内压水平及并发症发生率,建议应用并予以推广。Objective: To analyze the effect of standard trauma large bone flap craniotomy and conventional bone flap craniotomy in treatment of severe craniocerebral injury. Methods: A total of 100 patients with severe craniocerebral injury who were admitted to Pingdu Hospital of Traditional Chinese Medicine from January 2016 to December 2020 were selected as the study subjects, and they were randomly divided into two groups by computer randomization, with 50 cases in each group. The control group was treated with conventional bone flap craniotomy, and the observation group was treated with standard trauma large bone flap craniotomy. The National Institutes of Health Stroke Scale(NIHSS) score, intracranial pressure level and complication rate were compared between the two groups. Results: Before operation, there was no significant difference in NIHSS score between the two groups(P>0.05);at 1 month after operation, the NIHSS score of the observation group was lower than that of the control group, and the difference was statistically significant(P<0.05). Before operation, there was no significant difference in intracranial pressure level between the two groups(P>0.05);at 3 days and 7 days after operation, the intracranial pressure level in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion: Standard trauma large bone flap craniotomy for severe craniocerebral injury has more advantages than conventional bone flap craniotomy. It can improve the neurological deficit of patients, reduce the level of intracranial pressure and the incidence of complications. It is recommended to be applied and promoted.

关 键 词：标准外伤大骨瓣开颅术 常规骨瓣开颅术 重型颅脑损伤 神经功能 

分 类 号：R651.15[医药卫生—外科学]