摘要
目的探讨和分析去大骨瓣减压术治疗重度颅脑损伤的临床效果,为提高其临床干预效果提供参考。方法选取2019年7月—2020年7月聊城市茌平区人民医院神经外科收治的重度颅脑损伤患者76例,采用随机抽签原则将所有患者分为研究组和对照组各38例。对照组患者给予传统骨瓣开颅术,研究组患者给予去大骨瓣减压术。比较两组治疗效果、治疗后颅内压和GCS评分。结果研究组治疗总有效率为97.37%,高于对照组的78.95%,差异有统计学意义(χ^(2)=6.175 8,P<0.05)。研究组颅内压为(10.79±3.06)mm Hg,低于对照组的(20.74±2.83)mm Hg;研究组GCS评分为(12.68±1.97)分,高于对照组的(9.25±1.76)分,差异均有统计学意义(P<0.05)。结论去大骨瓣减压术可有效治疗重度颅脑损伤,能明显改善患者的病情,获取理想的治疗效果,值得在临床上推广应用。
Objective To investigate and analyze the clinical effect of decompressive craniectomy in the treatment of severe craniocerebral injury,so as to provide reference for improving the clinical intervention effect.Methods A total of 76 patients with severe craniocerebral injury admitted to the Neurosurgery Department of Liaocheng Chiping District People’s Hospital from July 2019 to July 2020 were selected and divided into the study group and the control group with 38 cases in each group according to the principle of random drawing.The patients in the control group were treated with traditional craniectomy,and the patients in the study group were treated with decompressive craniectomy.The therapeutic effect,intracranial pressure and GCS score after treatment were compared between the two groups.Results The total effective rate of treatment in the study group was 97.37%,which was higher than 78.95%in the control group,and the difference was statistically significant(χ^(2)=6.175 8,P<0.05).The intracranial pressure in the study group was (10.79±3.06)mm Hg,which was lower than that in the control group with(20.74±2.83)mm Hg;the GCS score of the study group was (12.68±1.97)points,which was higher than that of the control group with (9.25±1.76) points,and the differences were statistically significant(P<0.05).Conclusion The decompressive craniectomy could effectively treat severe craniocerebral injury,significantly improve the condition of patients and obtain ideal therapeutic effect,which was worthy of promotion and application in clinic.
作者
桑昭熙
SANG Zhao-xi(Department of Neurosurgery,Liaocheng Chiping District People's Hospital,Liaocheng Shandong Province 252100,China)
出处
《中国城乡企业卫生》
2023年第2期18-20,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
去大骨瓣减压术
重度颅脑损伤
临床疗效
Decompressive craniectomy
Severe craniocerebral injury
Clinical efficacy
