摘要
目的分析梯度减压技术在急性重型颅脑损伤手术中的应用价值。方法选取我院收治的急性重型颅脑损伤患者76例作为研究对象。按减压方法,将其分为两组。对照组行传统加压处理,观察组行梯度减压处理,比较两组患者的预后。结果观察组患者的迟发颅内血肿、急性脑膨出发生率为2.6%,2.6%,低于对照组的18.4%,23.7%;经6个月随访,观察组患者恢复良好者率为55.3%,高于对照组的31.6%;死亡率为13.2%,低于对照组的34.2%,差异具有统计学意义(P<0.05)。结论梯度减压技术可降低急性重型颅脑损伤患者术中并发症发生风险,改善患者预后。
Objective To analyze the application value of gradient technique in surgical decompression of acute severe craniocerebral injury. Methods 76 patients with acute severe craniocerebral injury were selected as the study objects. According to the method of decompression, they were divided into two groups. The control group was treated with traditional compression therapy, and the observation group was treated by gradient decompression. The prognosis of the two groups was compared. Results The incidence rate of delayed intracranial hematoma and acute encephalocele in the observation group were 2.6% and 2.6%, which was lower than 18.4% and 23.7% in the control group; After 6 months of followup, the rate of good recovery of the observation group was 55.3%, higher than 31.6% of the control group; The mortality rate was 13.2%, which was lower than 34.2% of the control group, and the difference was statistically significant(P < 0.05). Conclusion Gradient decompression can reduce the risk of intraoperative complications and improve the prognosis of patients with acute severe craniocerebral injury.
出处
《中国继续医学教育》
2017年第25期75-76,共2页
China Continuing Medical Education
关键词
急性重型颅脑损伤
梯度减压技术
迟发颅内血肿
急性脑膨出
acute severe craniocerebral injury
gradient decompression technique
delayed intracranial hematoma
acute encephalocele
