摘要
目的探讨分步控制性减压术在重型脑外伤患者临床治疗中的应用效果。方法随机选择2017年8月—2019年8月来该院进行治疗的重型脑外伤患者共100例,分为对照组和研究组,每组50例。对照组患者采用临床常规开颅血肿清除并采用去骨瓣减压术进行治疗,研究组则实施分步控制性减压术进行治疗。对两组患者颅内压、格拉斯哥昏迷评分、神经行为认知状态评分以及Barthel指数、并发症发生率以及治疗有效率等指标进行对比,分析分步控制性减压术在重型脑外伤患者临床治疗中的应用效果。结果手术后,研究组患者的颅内压为(21.94±1.21)mmHg均明显低于对照组(30.21±1.38)mmHg,差异有统计学意义(t=3.167,P<0.05);术后3个月研究组患者的格拉斯哥昏迷、神经行为认知状态评分以及Barthel指数指标为(4.38±0.53)分、(71.26±7.21)分和(76.54±5.97)分明显优于对照组(t=2.216、4.057、3.002,P<0.05);研究组患者的并发症发生率42.00%明显低于对照组78.00%,治疗有效率72.00%和临床治疗满意度80.00%明显高于对照组(χ^2=4.297、8.046、4.144,P<0.05)。结论采用分步控制性减压术能够稳定患者的颅内压,有效改善患者的精神状态,提高临床治疗效率。
Objective To explore the effect of stepwise controlled decompression in the clinical treatment of patients with severe brain injury. Methods A total of 100 patients with severe traumatic brain injury who came to the hospital for treatment from August 2017 to August 2019 were randomly selected and divided into control group and study group with 50 cases each. Patients in the control group were treated with routine clinical craniotomy for hematoma removal and craniectomy decompression, and the study group was treated with step-by-step controlled decompression.Intracranial pressure, Glass coma score, neurobehavioral cognitive status score, Barthel index, complication rate, and effective rate of treatment were compared between the two groups of patients. The clinical application of stepwise controlled decompression in patients with severe brain injury was analyzed. Application effect in treatment. Results After surgery, the intracranial pressure of the patients in the study group was(21.94 ±1.21)mmHg were significantly lower than the control group(30.21±1.38)mmHg, and the difference was statistically significant(t=3.167, P<0.05);Three months after surgery, the Glass coma, neurobehavioral cognitive status score and Barthel index of the study group were(4.38±0.53)points,(71.26±7.21)points and(76.54±5.97)points were significantly better than the control group(t=2.216,4.057, 3.002,P <0.05);the study group of the complication rate of patients was 42.00%, which was significantly lower than that of the control group, which was 78.00%. The effective rate of treatment was 72.00% and the satisfaction rate of clinical treatment was 80.00%, significantly higher than the control group(χ^2=4.297, 8.046, 4.144,P <0.05).Conclusion The use of stepwise controlled decompression can stabilize the intracranial pressure of patients, effectively improve the mental state of patients, and improve the efficiency of clinical treatment.
作者
孙翔宇
SUN Xiang-yu(Department of Neurosurgery,Feixian People's Hospital,Feixian,Shandong Province,273400 China)
出处
《系统医学》
2020年第18期111-113,共3页
Systems Medicine
关键词
分步控制性减压术
重型脑外伤
临床应用
Step-by-step controlled decompression
Severe brain injury
Clinical application
