摘要
目的探究颅脑损伤患者采用不同手术方法治疗的效果。方法选择2016年7月—2017年7月我院颅脑损伤患者70例作为研究对象。采用随机数字表法,将其分为实验组与参照组,每组各35例。参照组采用开颅手术模式,实验组应用微创血肿清除术,对比两种手术形式的临床效果。结果实验组格拉斯哥昏迷指数为(8.95±0.55)分,参照组格拉斯哥昏迷指数为(6.04±0.81)分,实验组颅内压为(18.04±3.44)mmHg,参照组颅内压为(26.71±4.73)mmHg,实验组格拉斯哥昏迷指数、颅内压高于参照组,实验组颅脑损伤手术临床治疗总有效率(94.29%)及满意率(88.57%)均高于参照组(71.43%、57.14%),两组比较,差异具有统计学意义(P <0.05)。结论颅脑损伤患者采用微创血肿清除术临床治疗效果较好。
Objective To explore the effect of different surgical methods in patients with craniocerebral injury.Methods 70 patients with craniocerebral injury in our hospital from July 2016 to July 2017 were selected and randomly divided into experimental group and reference group,35 cases in each group.The patients in the control group were treated with craniotomy, and the experimental group was treated with minimally invasive evacuation of hematoma.The clinical effects of 2 kinds of operative methods were compared.Results In the experimental group,the Glasgow coma index was (8.95±0.55) points;in the reference group,the Glasgow coma index was (6.04±0.81) points;in the experimental group,the intracranial pressure was (18.04±3.44) mmHg;in the reference group,the intracranial pressure was (26.71±4.73) mmHg.The Glasgow coma index and intracranial pressure in the experimental group were significantly higher than those of the reference group.The total effective rate (94.29%) and the satisfaction rate (88.57%) in the experimental group were higher than those of the reference group (71.43%,57.14%).the difference was statistically significant (P<0.05). Conclusion Minimally invasive evacuation of hematoma in patients with craniocerebral injury is effective.
作者
石景柱
SHI Jingzhu(Department of Neurosurgery,Chongqing Yongchuan District People's Hospital,Chongqing 402160,China)
出处
《中国继续医学教育》
2019年第6期97-98,共2页
China Continuing Medical Education
关键词
颅脑损伤
开颅手术
微创血肿清除术
应用效果
手术方法
血肿
craniocerebral injury
craniotomy
minimally invasive evacuation of hematoma
application effect
operative method
hematoma
