控制减压技术对对冲性颅脑损伤单侧开颅手术患者并发症及预后的影响  

Effect of Controlled Decompression Technique on Complications and Prognosis of Patients Undergoing Unilateral Craniotomy for Contrecoup Craniocerebral Injury

作　　者：何黄 黄敏秋 吴淼经[2] 陈真[2] HE Huang;HUANG Minqiu;WU Miaojing;CHEN Zhen(Guixi People’s Hospital,Jiangxi Province,Guixi 335400,China;不详)

机构地区：[1]江西省贵溪市人民医院,江西贵溪335400 [2]南昌大学第二附属医院

出　　处：《中国医学创新》2022年第29期53-57,共5页Medical Innovation of China

摘　　要：目的:探讨控制减压技术对对冲性颅脑损伤单侧开颅手术患者并发症与预后的影响。方法:选取2019年1月-2021年1月贵溪市人民医院收治的98例接受单侧开颅手术治疗的对冲性颅脑损伤患者,根据术中减压技术的不同将其分为A组(n=49)及B组(n=49)。B组采用常规减压技术,A组采用控制减压技术。对比两组的格拉斯哥昏迷(GCS)评分、神经行为认知状态检查表(NCSE)评分及Barthel指数、预后良好情况、并发症发生情况。结果:术后1、3、7 d,两组GCS评分较治疗前均升高,A组均高于B组(P<0.05)。术后A组NCSE评分、Barthel指数均高于B组(P<0.05)。A组预后良好率为55.10%,高于B组的34.69%(P<0.05)。A组并发症发生率为10.20%,低于B组的26.53%(P<0.05)。结论:控制减压技术可显著改善对冲性颅脑损伤单侧开颅手术患者意识状态,促进神经功能及日常生活能力恢复,改善预后,整体效果优异,值得推广。Objective:To explore the influence of controlled decompression technique on the complications and prognosis of patients with unilateral craniotomy for contrecoup craniocerebral injury.Method:From January 2019 to January 2021,98 patients with contrecoup craniocerebral injury who received unilateral craniotomy in Guixi People’s Hospital were selected and divided into group A(n=49)and group B(n=49)according to different decompression techniques during operation.Group B was treated with conventional decompression technique,while group A was treated with controlled decompression technique.Glasgow coma scale(GCS)score,neurobehavioral cognitive status examination(NCSE)score,Barthel index,good prognosis and complication were compared between the two groups.Result:1,3 and 7 days after operation,GCS scores of both groups were higher than those before treatment, and those of group A were higher than those of group B (P<0.05). The NCSE score and Barthel index in group A were higher than those in group B (P<0.05). The good prognosis rate of group A was 55.10%, which was higher than 34.69% of group B (P<0.05). The complication rate of group A was 10.20%, which was lower than 26.53% of group B (P<0.05). Conclusion: Controlled decompression technique can significantly improve the state of consciousness of patients with unilateral craniotomy for contrecoup craniocerebral injury, promote the recovery of neurological function and daily living ability, and improve the prognosis, the overall effect is excellent, and it is worth popularizing.

关 键 词：控制减压技术 单侧开颅手术 对冲性颅脑损伤 

分 类 号：R651.15[医药卫生—外科学]