早期颅骨修补手术治疗脑外伤的临床价值研究  

Study on the clinical value of early skull repair surgery for traumatic brain injury

作　　者：胡志勇 徐英凯 Hu Zhiyong;Xu Yingkai(Hai'an Hospital of Traditional Chinese Medicine,Nantong,Jiangsu 226600,China)

机构地区：[1]江苏省海安市中医院,江苏南通226600

出　　处：《首都食品与医药》2024年第11期52-54,共3页Capital Food Medicine

摘　　要：目的探究在对脑外伤患者采取早期颅骨修补手术治疗后的临床价值。方法将2016年1月-2023年12月期间收治的脑外伤患者50例依据颅骨修复时间不同分成两组,均进行去骨瓣减压术。对照组共计患者25例,均在术后3-6个月接受颅骨修补手术。观察组共计患者25例,均在术后1-2个月接受颅骨修补手术。对比治疗效果;对比神经功能缺损(NIHSS)评分、日常生活能力评定量表(Barthel指数);对比并发症发生率。结果和对照组比较,观察组治疗效果(96.00%)较高,差异明显(χ^(2)=5.357,P<0.05)。治疗后,观察组NIHSS评分(6.85±1.53)分更低,Barthel指数(79.84±4.32)更高,差异明显(P<0.05)。与对照组并发症发生率(24.00%)比较,观察组(4.00%)更低,差异明显(P<0.05)。结论在治疗脑外伤患者时,实施早期颅骨修补手术有助于提高疗效,改善神经功能、日常生活能力,安全性较高,值得在临床治疗脑外伤方案中推广以及应用。Objective To investigate the clinical value of early cranial repair surgery in the treatment of patients with traumatic brain injury.Methods According to the different cranial bone repair time of this study,50 cases of patients with traumatic brain injury were divided into two groups in the period of January 2016 to December 2023,and all of them were subjected to debridement and decompression surgery.The control group totaled 25 patients,all of whom underwent cranial bone repair surgery 3-6 months after surgery.The observation group consisted of 25 patients,all of whom underwent cranial bone repair surgery 1-2 months after surgery.Comparison of treatment effects;comparison of neurological deficit(NIHSS)score,ability to perform daily life scale(Barthel index);comparison of complication rate.Results Comparing and analyzing with the control group,the treatment effect(96.00%)was higher in the observation group,and the difference was significant(χ^(2)=5.357,P<0.05).After treatment,the observation group had a lower NIHSS score(6.85±1.53)and a higher Barthel index(79.84±4.32),with a significant difference(P<0.05).Compared with the complication rate of the control group(24.00%),the observation group was lower(4.00%),with a significant difference(P<0.05).Conclusion When treating patients with traumatic brain injury,the implementation of early cranial repair surgery can help improve the efficacy,improve neurological function,daily life ability,and higher safety,which is worthy of popularization as well as application in the clinical treatment program of traumatic brain injury.

关 键 词：早期颅骨修补手术 脑外伤 治疗效果 神经功能 

分 类 号：R651.1[医药卫生—外科学]