摘要
目的 探讨分析对重型颅脑损伤患者采用外伤大骨瓣开颅术进行治疗的临床疗效以及对生存率的影响。方法 选取2020年1月—2021年7月该院收治的80例重型颅脑损伤患者为研究对象,按照随机数表法分为甲组和乙组,各40例。甲组接受外伤大骨瓣开颅术治疗,乙组接受常规骨瓣开颅术治疗,比较两组的治疗效果、术后结局、并发症发生率、术后颅内压和神经功能缺损评分。结果 甲组治疗有效率(92.50%)高于乙组(75.00%),差异有统计学意义(χ^(2)=4.501,P=0.034);甲组总生存率(92.50%)高于乙组(72.50%),差异有统计学意义(χ^(2)=5.541,P<0.05);甲组的并发症发生率(2.50%)低于乙组(15.00%),差异有统计学意义(χ^(2)=3.914,P<0.05);甲组术后的颅内压为(15.8±2.4)mmHg、神经功能缺损评分为(21.4±3.4)分,优于乙组术后的颅内压的(24.8±3.0)mmHg、神经功能缺损评分为(29.3±4.3)分,差异有统计学意义(t=14.816、9.115,P<0.05)。结论 对重型颅脑损伤患者采用外伤大骨瓣开颅术进行治疗的临床疗效极为确切,能够很好地控制患者病情,减少患者并发症,改善患者的神经功能缺损,有效降低患者的颅内压,从而提高患者的生存率。
Objective To investigate and analyze the clinical efficacy of large trauma craniotomy and its influence on survival rate in patients with severe craniocerebral injury.MethodsA total of 80 patients with severe craniocerebral injury who were admitted to the hospital from January 2020 to July 2021 were selected as the research objects,and divided into group A and group B according to the random number table method,with 40 cases in each.Group A received large trauma craniotomy,and group B received conventional craniotomy.The treatment effect,postoperative outcome,complication rate,postoperative intracranial pressure and neurological deficit score were compared between the two groups.ResultsThe effective rate of treatment in group A(92.50%) was higher than that in group B(75.00%),and the difference was statistically significant(χ~2=4.501,P=0.034).The overall survival rate of group A(92.50%) was higher than that of group B(72.50%),and the difference was statistically significant(χ~2=5.541,P<0.05).The incidence of complications in group A(2.50%) was lower than that in group B(15.00%),and the difference was statistically significant(χ~2=3.914,P<0.05).The postoperative intracranial pressure in group A was(15.8±2.4) mmHg,and the neurological deficit score was(21.4±3.4) points;better than the postoperative intracranial pressure(24.8±3.0) mmHg,and the neurological deficit score(29.3±4.3) points in the group B,and the difference was statistically significant(t=14.816,9.115,P<0.05).ConclusionThe clinical efficacy of traumatic large bone flap craniotomy in the treatment of severe craniocerebral injury is extremely accurate,which can well control the patient’s condition,reduce the patient’s complications,improve the patient’s neurological deficit,and effectively reduce the patient’s intracranial pressure.thereby improving the survival rate of patients.
作者
王志国
孙奎厚
WANG Zhiguo;SUN Kuihou(Department of Neurosurgery,Xinxian People's Hospital of Shandong Province,Liaocheng,Shandong Province,252400 China)
出处
《系统医学》
2022年第10期104-107,共4页
Systems Medicine
关键词
重型颅脑损伤
外伤大骨瓣开颅术
临床疗效
生存率
Severe craniocerebral injury
Traumatic craniotomy
Clinical efficacy
Survival rate
