手术治疗颅脑损伤所致大面积脑梗死临床研讨  

Clinical Study on Surgical Treatment of Massive Cerebral Infarction Caused by Craniocerebral Injury

作　　者：颜大钧 张洁[2] YAN Dajun;ZHANG Jie(Neurosurgery Department,the First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou 510699,Guangdong,China;Medical Records Department,the First Affiliated Hospital of Jinan University,Guangzhou 510630,Guangdong,China)

机构地区：[1]广东药科大学附属第一医院神经外科,广东广州510699 [2]暨南大学附属第一医院病案科,广东广州510630

出　　处：《系统医学》2024年第13期138-140,144,共4页Systems Medicine

摘　　要：目的探讨对颅脑损伤致大面积脑梗死患者给予手术治疗后获得的临床效果。方法非随机选取广东药科大学附属第一医院于2019年3月—2023年8月收治的82例颅脑损伤致大面积脑梗死患者为研究对象。按照不同治疗方法分为两组,各41例,参照组采用保守疗法完成疾病治疗,研究组采用手术疗法完成疾病治疗,比较两组患者临床指标。结果研究组并发症总发生率(2.44%)低于参照组(19.51%),差异有统计学意义(χ^(2)=4.493,P<0.05);治疗后,研究组美国国立卫生研究院卒中量表评分低于参照组,格拉斯哥昏迷评分高于参照组,差异有统计学意义(P均<0.05)。结论临床对颅脑损伤致大面积脑梗死患者在治疗期间,可改善患者的意识状态、神经功能缺损情况,降低并发症发生率。Objective To investigate the clinical effect of surgical treatment on patients with massive cerebral infarc-tion caused by craniocerebral injury.Methods A total of 82 patients with massive cerebral infarction caused by cranio-cerebral injury admitted to the First Affiliated Hospital of Guangdong Pharmaceutical University from March 2019 to August 2023 were non-randomly selected as the study objects.The patients were divided into two groups according to different treatment modalities,with 41 cases in each group.The reference group was treated with conservative therapy,while the study group was treated with surgical therapy.The clinical indexes of the two groups were compared.Re-sults The total incidence of complications in the study group(2.44%)was lower than that in the reference group(19.51%),and the difference was statistically significant(χ^(2)=4.493,P<0.05).After treatment,the National Institutes of Health Stroke Scale score of the study group was lower than that of the reference group,and the Glasgow Coma score was higher than that of the reference group,the difference were statistically significant(both P<0.05).Conclusion During the treatment of patients with large-scale cerebral infarction caused by traumatic brain injury,it can improve their consciousness state,neurological deficits,and reduce the incidence of complications in clinical practice.

关 键 词：手术治疗 颅脑损伤 大面积脑梗死 格拉斯哥昏迷 美国国立卫生研究院卒中量表 

分 类 号：R651.1[医药卫生—外科学]