摘要
目的探讨控制性阶梯式减压在重型颅脑损伤手术中的应用效果。方法选择我院2013年3月至2015年8月间收治的80例重型颅脑损伤患者,根据简单随机法将患者分成观察组及对照组,各40例。观察组患者采取控制性阶梯式大骨瓣减压术,对照组患者采取快速减压大骨瓣减压术,对两组患者的手术情况、预后、并发症进行分析。结果与对照组患者相比,观察组患者在良好、死亡分别为23例、8例,对比分析后,差异显著(χ~2=5.080、4.030,P<0.05),观察组患者在术后脑膨出为2例,差异显著(χ~2=5.880,P<0.05),与对照组患者相比,观察组患者的手术时间为(1.50±0.20)h,术中出血量为(110.6±23.5)mL,对比分析后,差异明显(t=4.696、3.436,P<0.05)。结论采用控制性阶梯式减压术治疗重型颅脑损伤可减少并发症的发生,改善患者预后,值得临床推广应用。
Objective To explore the application effect of controlled staged decompression in operation on the patients with severe traumatic brain injury.Methods 80 cases of patients with severe traumatic brain injury treated in our hospital from March 2013 to August 2015 were selected and divided equally and randomly into control group and observation group.Patients in the control group were treated with rapid decompression and large bone flap decompression while the patients in the observation group were given controlled staged large bone flap decompression.The operation condition,prognosis and complication of the patients in two groups were observed and analyzed.Results Compared with the control group,there were 23 cases of good prognosis and 8 cases of mortality in the observation group,with statistically significant difference（χ2=5.080,4.030,P〈0.05） ,there were 2 cases of encephalocele after operation in the observation group,with significant difference（χ2=5.880,P〈0.05）.Compared with the control group,the operation time（1.50±0.20）h and the amount of bleeding （110.6±23.5） mL in the observation group were significantly different from that of the control group（t=4.696,3.436,P〈0.05）.Conclusion Controlled staged decompression for severe traumatic brain injury can be good for reducing the incidence of complications and improving the prognosis,hence it is worthy of clinical application.
出处
《锦州医科大学学报》
CAS
2017年第3期83-85,共3页
Journal of Jinzhou Medical University
关键词
控制性阶梯式减压
重型颅脑损伤
疗效
controlled staged decompression
severe traumatic brain injury
effect
