控制性阶梯式大骨瓣减压术在重型颅脑损伤中的疗效观察  

Efficacy of Controlled Stepped Decompression of Large Bone Flap in Patients with Severe Craniocerebral Injury

作　　者：胥裕平 万赛龙 胡婷婷 XU Yuping;WAN Sailong;HU Tingting(Department of Neurosurgery,the First People's Hospital of Fuzhou,Fuzhou 344000,China;不详)

机构地区：[1]抚州市第一人民医院神经外科,江西抚州344000 [2]抚州市第一人民医院全科医学科,江西抚州344000

出　　处：《中国医学创新》2024年第28期61-64,共4页Medical Innovation of China

基　　金：2023年度抚州市科技计划项目(抚科社字[2023]7号)。

摘　　要：目的:探讨控制性阶梯式大骨瓣减压术在重型颅脑损伤中的疗效。方法:选择2022年1月—2023年8月抚州市第一人民医院收治的80例重型颅脑损伤患者作为研究对象,采取随机数字表法分两组,各40例。参照组开展标准大骨瓣减压术治疗,研究组开展控制性阶梯式大骨瓣减压术治疗。比较两组围手术期指标、意识状况、预后情况及并发症发生情况。结果:研究组手术时间及住院时间均短于参照组,术后清醒时间早于参照组(P<0.05)。术后,研究组格拉斯哥昏迷量表(GCS)、格拉斯哥预后量表(GOS)评分均高于参照组(P<0.05)。研究组并发症发生率低于参照组(P<0.05)。结论:重型颅脑损伤患者实施控制性阶梯式大骨瓣减压术治疗,可取得更为理想的治疗效果,可提高手术效率和促进康复进程,改善重型颅脑损伤患者术后意识状况及预后情况,减少相关并发症发生。Objective:To investigate the efficacy of controlled stepped decompression of large bone flap in patients with severe craniocerebral injury.Method:A total of 80 patients with severe craniocerebral injury admitted to the First People's Hospital of Fuzhou from January 2022 to August 2023 were selected as the subjects and divided into two groups by random number table method,with 40 cases in each group.The reference group was treated with standard decompression of large bone flap,and the study group was treated with controlled stepped decompression of large bone flap.Perioperative indexes,consciousness,prognosis and complications were compared between two groups.Result:The operation time and hospital stay of the study group were shorter than those of the reference group,postoperative waking time was earlier than that of the reference group(P<0.05).After surgery,the scores of Glasgow coma scale(GCS)and Glasgow outcome scale(GOS)in the study group were higher than those in the reference group(P<0.05).The incidence of complications in the study group was lower than that in the reference group(P<0.05).Conclusion:In patients with severe craniocerebral injury,controlled stepped decompression of large bone flap can achieve more ideal therapeutic effect,improve surgical efficiency and promote rehabilitation process,improve postoperative consciousness and prognosis of patients with severe craniocerebral injury,and reduce the occurrence of related complications.

关 键 词：重型颅脑损伤 控制性阶梯式大骨瓣减压术 标准大骨瓣减压术 预后情况 并发症 

分 类 号：R651.15[医药卫生—外科学]