摘要
目的:探讨和比较改良大骨瓣减压术和常规大骨瓣减压术治疗重度颅脑损伤的临床疗效。方法:回顾性分析我院就诊的80例重度颅脑损伤患者,分为实验组40人和对照组40人,对照组采用常规大骨瓣减压术治疗,实验组采用改良大骨瓣减压术。结果:对照组颅内压47.3±4.3mmHg,GCS评分9.3±2.4。实验组颅内压31.8±3.7mmHg,GCS评分12.7±2.5。实验组颅内压低于对照组,GCS评分高于对照组,差异显著(p<0.05)。对照组死亡21例,重残/昏迷8例,良好/中残11例。实验组死亡11例,重残/昏迷12例,良好/中残17例。实验组治疗后死亡率低于对照组,生存质量高于对照组,差异显著(p<0.05)。结论 :改良大骨瓣减压术治疗重度颅脑损伤患者可以降低患者颅内压,疗效显著,降低患者死亡率,显著改善患者预后,适合临床长期推广应用。
Objective： To observe clinical effect of improved large craniotomy decompression surgery in treatment of severe craniocerebral trauma. Methods： 80 cases were retrospectively analyzed and divided into two groups. Control group included 40 cases used standard large craniotomy decompression surgery and test group included 40 cases used improved large eraniotomy decompression surgery. Results： The intraeranial pressure of control group was 47.3±4. 3mmHg and GCS score was 9. 3 ±2.4. The intracranial pressure of test group was 31.8 ± 3.7mmHg and GCS score was 12. 7 ±2. 5. The intracranial pressure of test group was significantly lower than control group and GCS score was significantly higher than that in control group （ p 〈 0.05 ）. The mortality rate after treatment of test group was significantly lower than control group and the life quality was significantly higher than that in the control group. Conclusions. To use improved large craniotomy decompression surgery in treatment of severe craniocerebral trauma can significantly cut down the intracranial pressure, reduce mortality rate and significantly improve the prognosis of patients. It has a significant clinical effect so that can be popularized.
出处
《中国民族民间医药》
2012年第23期25-26,共2页
Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词
大骨瓣减压术
颅脑损伤
改良
重度
large craniotomy decompression surgery
craniocerebral trauma
improve
severe
