不同时期颅骨缺损修补术对脑外伤开颅术后并发脑积水患者预后的改善分析  

Improvement Analysis of the Prognosis of Patients with Hydrocephalus Complicated by Craniotomy after Traumatic Brain Injury by Repairing Cranial Defects at Different Periods of Time

作　　者：赵晖[1] ZHAO Hui(Department of Neurosurgery,Zibo Central Hospital,Zibo,Shandong Province,255020 China)

机构地区：[1]淄博市中心医院神经外科,山东淄博255020

出　　处：《系统医学》2023年第11期150-154,共5页Systems Medicine

摘　　要：目的 临床分析不同时期颅骨缺损修补术对脑外伤开颅术后并发脑积水患者预后的改善效果。方法选择2021年9月-2022年9月淄博市中心医院神经外科收治的70例脑外伤开颅术后颅骨缺损并发脑积水患者,通过随机数表法分为研究组35例、对照组35例,对照组于术后3~6个月行颅骨缺损修补术,研究组于术后3个月为行颅骨缺损修补术,对比两组的治疗疗效。结果 研究组疗效优于对照组,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,两组颅内压水平均下降,且研究组低于对照组,差异有统计学意义(P<0.05)。术前,两组美国国立卫生院神经功能缺损评分(National Institutes of Health Stroke Scale, NIHSS)比较,差异无统计学意义(P>0.05);术后,两组NIHSS评分均较术前低,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组(2.86%vs 25.71%),差异有统计学意义(χ^(2)=7.467,P=0.017)。结论 针对颅骨缺损,在术后3个月内早期进行颅骨缺损修补术,可加速其神经损伤的修复,提高疗效,并具有较好的安全性,是一项值得深入探讨的课题。Objective Clinical analysis of the effect of skull defect repair at different stages on the prognosis of pa⁃tients with Hydrocephalus after craniotomy.Methods From September 2021 to September 2022,70 patients with skull defects and Hydrocephalus after craniotomy of brain trauma admitted to Neurosurgery of Zibo Central Hospital were randomly divided into the study group of 35 cases and the control group of 35 cases.The control group received skull defect repair 3 months to 6 months after the operation,and the study group received skull defect repair within 3 months after the operation.The therapeutic effects of the two groups were compared.Results The therapeutic effect of the study group was better than that of the control group,and the difference was statistically significant(P<0.05).Be⁃fore operation,there was no statistically significant difference in intracranial pressure between the two groups(P>0.05);after operation,the average intracranial pressure of the two groups decreased,and the study group was lower than the control group,and the difference was statistically significant(P<0.05).Before surgery,there was no statisti⁃cally significant difference in the National Institutes of Health Stroke Scale(NIHSS)between the two groups(P>0.05);after surgery,the NIHSS scores of both groups were lower than before surgery,and the study group was lower than the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the control group(2.86%vs 25.71%),and the difference was statistically significant(χ^(2)=7.467,P=0.017).Conclusion For cranial defects,early repair of cranial defects within 3 months after surgery can accelerate the repair of their neurological damage,improve the therapeutic efficacy,and have a better safety,which is a topic worthy of in-depth exploration.

关 键 词：不同时期 颅骨缺损修补术 脑外伤开颅术后并发脑积水 

分 类 号：R12[医药卫生—环境卫生学]