摘要
目的:针对重型对冲性颅脑损伤,探讨双侧开颅手术的应用价值。方法:此次研究对象120例为本院于2019年1月-2020年12月收治的重型对冲性颅脑损伤患者,采用数字随机分配的方式将对象分为对照组(n=60)和观察组(n=60),分别选择单侧大骨瓣减压开颅术、双侧开颅手术,比较两组临床效果、血流动力学指标、NIHSS评分及并发症情况。结果:两组总有效率对比,观察组高于对照组,差异有统计学意义(P<0.05);治疗前,两组血流动力学指标、NIHSS评分差异无统计学意义(P>0.05);治疗后,观察组心率、舒张压、收缩压水平、NIHSS评分低于对照组(P<0.05);与对照组比较,观察组并发症发生率明显低(P<0.05)。结论:双侧开颅手术治疗重型对冲性颅脑损伤患者,能够有效提高患者的临床效果,改善神经功能和血流动力学指标水平,降低并发症的发生率,值得临床推广。
Objective:To explore the application value of bilateral craniotomy for severe contralateral craniocerebral injury.Method:The subjects of this study were patients with severe offset craniocerebral injury admitted to our hospital from January 2019 to December 2020.During this period,120 patients were selected and divided into the control group(n=60)and the observation group(n=60)by digital random allocation.Unilateral large bone flap decompression craniotomy and bilateral craniotomy were selected,respectively.Clinical effects,hemodynamic indexes,NIHSS scores and complications were compared between the two groups.Result:The difference of total effective rate in the observation group was higher that in the control group,the difference was significant(P<0.05).There were no significant differences in hemodynamic indexes and NIHSS score before treatment(P>0.05).After treatment,the heart rate,diastolic blood pressure,systolic blood pressure and NIHSS score of the observation group were lower than those of the control group(P<0.05).Compared with the control group,the incidence of complications in the observation group was significantly lower(P<0.05).Conclusion:Bilateral craniotomy in the treatment of severe contralateral craniocerebral injury patients can effectively improve the clinical effect of patients,improve the level of neurological function and hemodynamic indicators,reduce the incidence of complications,and is worthy of clinical promotion.
作者
刘天庆
邱平
祁小龙
郭东斌
LIU Tianqing;QIU Ping;QI Xiaolong;GUO Dongbin(The First Hospital of Longyan City,Longyan 364000,China;不详)
出处
《中外医学研究》
2021年第23期152-155,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
双侧开颅手术
重型对冲性颅脑损伤
血流动力学
并发症
Bilateral craniotomy
Severe contralateral craniocerebral injury
Hemodynamics
Complications
