亚低温联合标准外伤大骨瓣开颅术治疗重型颅脑外伤的疗效及术后并发症相关分析  

Correlation Analysis of Curative Effect and Postoperative Complications of Mild Hypothermia Combined with Standard Large Trauma Craniotomy in the Treatment of Severe Craniocerebral Trauma

作　　者：张军 李坤志 ZHANG Jun;LI Kunzhi(ICU of Zouping Central Hospital,Zouping 256212,China;Emergency Department of Zouping Central Hospital,Zouping 256212,China)

机构地区：[1]邹平市中心医院ICU,山东邹平256212 [2]邹平市中心医院急诊科,山东邹平256212

出　　处：《中华灾害救援医学》2024年第4期420-422,共3页Chinese Journal of Disaster Medicine

摘　　要：目的在标准外伤大骨瓣开颅术的基础上配合亚低温治疗,评估联合治疗对重型颅脑外伤的临床效果及并发症的影响。方法以邹平市中心医院2020年9月至2023年9月收治的重型颅脑外伤60例患者作为研究对象,按照随机数字表法分为研究组与对照组,每组各30例。对照组接受标准外伤大骨瓣开颅术,研究组在对照组基础上接受亚低温治疗,比较两组疗效、颅内压、术后并发症的差异。结果研究组总有效率高于对照组,并发症总发生率较之对照组更低(P<0.05)。治疗后不同时点,两组颅内压水平呈现下降趋势,研究组较之对照组更低(P<0.05)。结论基于标准外伤大骨瓣开颅术治疗下,联合亚低温治疗重型颅脑外伤患者具有较好的疗效,在缓解颅内压的同时亦可减少术后并发症。Objective To evaluate the clinical effect and complications of standard large traumatic craniotomy combined with mild hypothermia treatment on severe traumatic brain injury patients.Methods 60 patients with severe craniocerebral trauma in our hospital from September 2020 to September 2023 were selected as research subjects,and they were divided into the study group(30 cases)and the control group(30 cases)according to random number table method.The control group received standard large traumatic craniotomy,and the study group received mild hypothermia treatment on the basis of the control group.The difference of efficacy,intracranial pressure,and postoperative complications between the two groups was compared.Results The total effective rate of the study group was higher than that of the control group,and the total complication rate of the study group was lower than that of the control group(P<0.05).At different time points after treatment,both groups showed a downward trend in the level of ICP,while the ICP level in the study group decreased more than the ICP level in the control group decreased(P<0.05).Conclusion The combination of mild hypothermia in the treatment of severe craniocerebral trauma with standard large traumatic craniotomy has a good effect,which alleviated intracranial pressure and reduced postoperative complications.

关 键 词：颅脑损伤 手术后并发症 颅内压 

分 类 号：R64[医药卫生—外科学]