摘要
目的研究去骨瓣减压术治疗大面积脑梗死患者的临床疗效。方法本次研究选取的研究对象为2013年8月1日~2016年7月31日期间在我院进行治疗的大面积脑梗死患者,将60例患者随机分为两组,每组30例。其中,对照组患者实施内科保守治疗,观察组加用去骨瓣减压术治疗。对比两组大面积脑梗死患者的中线恢复情况、治疗效果、认知缺损功能和日常生活能力评分以及并发症发生率。结果观察组大面积脑梗死患者治疗后的中线恢复情况(15.08±2.54)mm、治疗有效率80.00%、认知缺损功能评分(26.88±3.04)分、日常生活能力评分(24.65±8.47)分以及并发症发生率6.67%,五项指标均比对照组优,差异有统计学意义(P<0.05)。结论采用去骨瓣减压术为大面积脑梗死患者治疗的效果优越,具有较高的临床推广价值。
Objective To study the clinical effect of decompressive craniectomy in treatment of large cerebral infarction. Methods The patients with extensive cerebral infarction treated in our hospital from August 1,2013 to July 31,2016 were selected as the subjects of this study.60 patients were randomly divided into 2 groups,30 patients in each group.Patients in the control group were given conservative treatment,and the patients in the observation group were treated with decornpressive craniectorny.The midline recovery,treatment effect,cognitive impairment function and daily living ability score and complication rate were compared between the two groups of patients with massive cerebral infarctiOn. Results After treatment,the midline recovery （15.08± 2.54）ram,treatment efficiency 80.00%,cognitive impairment score （26.88± 3.04）,daily life ability score （24.65± 8.47） and complication rate 6.67% in the observation group were better than those in the control group（P 〈 0.05）. Conclusion The effect of decompressive craniectorny in treatment of extensive cerebral infarction is superior and has high clinical value.
出处
《中国医药科学》
2018年第1期211-213,226,共4页
China Medicine And Pharmacy
关键词
大面积
脑梗死
去骨瓣减压术
Large area
Cerebral infarction
Decornpressive craniectorny
