摘要
目的分析对比两种大骨瓣开颅减压术治疗对冲性颅脑损伤疗效,总结治疗经验。方法采用标准外伤大骨瓣开颅内外减压术患者25例,纳入观察组,采用常规区域性开颅血肿清除术治疗24例,纳入对照组,对比相关指标。结果观察组与对照组住院死亡率、颅内并发症发生率、颅外并发症发生率、血肿清除率、6个月内预后不佳率差异无统计学意义(P>0.05);A组术后第1、7日ICP水平低于B组,术后90日ADL评分高于B组,差异具有统计学意义(P<0.05)结论两者在并发、死亡率、远期预后上差异无明显差异,但标准大骨瓣开颅减压术降低颅内压效果更好。
Objective Efficacy comparison of the two large craniotomy decompression for the treatment of brain injury hedge.Methods Standard large trauma craniotomy surgery pressure inside and outside the 25 patients,included in the observation group, using conventional regional hematoma evacuation for 24 patients included in the control group, compared to the relevant index. Results The hospital mortality with the control group, the incidence of intracranial complications, extracranial complication rate,hematoma rate, within six months of poor prognosis rate was no significant difference（P〉0.05）; A group after the first, the 7th ICP lower than group B, 90 days after the ADL scores higher than group B,the difference was statistically significant（P〈0.05）. Conclusion Both concurrency,mortality,long-term prognosis on the difference no significant difference, but the standard large trauma craniotomy decompression to reduce intracranial pressure better results.
出处
《中国卫生标准管理》
2015年第18期51-52,共2页
China Health Standard Management
