摘要
目的探讨控制性阶梯式减压术治疗重型颅脑损伤的临床效果。方法抽取2016年1月至2019年12月吕梁市人民医院收治的重型颅脑损伤患者106例,依据随机数字表将其分为两组,每组53例。对照组行标准大骨瓣减压术,观察组行控制性阶梯式减压术,比较两组手术指标、并发症及预后。结果观察组手术时间短于对照组,出血量低于对照组(P<0.05)。观察组术后迟发性血肿比率为5.66%(3/53),急性脑膨出比率为3.77%(2/53),脑梗死比率为1.89%(1/53),低于对照组相应值(20.75%、18.87%、13.21%),差异有统计学意义(P<0.05)。观察组预后Ⅴ级、Ⅳ级比率高于对照组(P<0.05)。结论控制性阶梯式减压术可减少术后并发症,改善患者预后,临床应用效果良好。
Objective To investigate the effect of controlled stepwise decompression on patients with severe head injury.Methods A total of 106 patients with severe head injury admitted to Lyuliang City People’s Hospital from January 2016 to December 2019 were selected and divided into two groups according to a random number table,with 53 cases in each group.The control group was treated with standard large craniectomy and the observation group underwent controlled stepwise decompression.The surgical indicators,complications and prognosis of the two groups were compared.Results The operation time of the observation group was significantly shorter than that of the control group,and the blood loss was lower than that of the control group(P<0.05).The postoperative delayed hematoma rate of the observation group was 5.66%(3/53),and the acute encephalocele rate was 3.77%(2/53),and the cerebral infarction rate was 1.89%(1/53),which were lower than the corresponding value in the control group(20.75%,18.87%,13.21%),and the differences were significant(P<0.05).The prognosis of the observation group was higher than that of the control group(P<0.05).Conclusions Controlled stepwise decompression can reduce postoperative complications,and improve the prognosis of patients,and the application effect is good.
作者
王爱国
张小义
Wang Aiguo;Zhang Xiaoyi(Department of Neurosurgery,Lyuliang People’s Hospital,Lyuliang 033000,China)
出处
《中国实用医刊》
2020年第20期43-45,共3页
Chinese Journal of Practical Medicine
关键词
重型颅脑损伤
减压
控制性
阶梯式
Severe head injury
Decompression
Control
Stepped
