摘要
目的 分析标准去骨瓣减压术治疗重型颅脑损伤的临床效果.方法 选取长治市第二人民医院2014年6月至2016年6月收治的重型颅脑损伤患者72例,按治疗方式将其分为两组：行常规去骨瓣减压术治疗的36例患者作为对照组,行标准去骨瓣减压术治疗的36例患者作为试验组.评价两组患者的手术效果、血液生化指标及血气指标.结果 术后两组患者磷酸肌酸激酶（CPK）、血小板、颅内压、二氧化碳分压（PaCO2）均低于术前,pH值、血氧分压（PaO2）高于术前,且试验组CPK、颅内压、PaO2、PaCO2指标优于对照组,差异有统计学意义（P〈0.05）.试验组术后并发症发生率（5.6％）低于对照组（25.0％）,差异有统计学意义（P〈0.05）.结论 标准去骨瓣减压术治疗重型颅脑损伤疗效确切,能减少术后并发症,改善患者的血液生化学和血气指标,值得临床推广应用.
Objective To investigate the clinical effect of standard decompressive craniectomy on severe craniocerebral injury .Methods A total of 72 cases with severe craniocerebral injury hospitalized in the Second People＇s Hospital of Changzhi from June 2014 to June 2016 were selected and were allocatedb divided into two groups according to their treatment protocols .Thirty-six patients who were given conventional decompressive craniectomy were allocated into control group .while 36 were treated by standard decompressive craniectomy were allocated into experimental group .Then the surgical effect, indicators of blood biochemistry and blood gas of the two groups were assessed .Results The levels of creatine phosphocreatine kinase （ CPK）, platelet, intracranial pressure, partial pressure of carbon dioxide in artery （ PaCO2 ） in both groups were lower than those before operation; while pH, partial pressure of oxygen （PaO2） in both groups were higher than those before operation;and the CPK, intracranial pressure , PaO2 and PaCO2 in experimental group were better than those in control group , the difference were statistically significant （ P 〈0.05 ） .The incidence of postoperative complications in experimental group was lower than that in control group （ 5.6％ vs.25.0％） , the difference was statistically significant （ P 〈0.05 ） .Conclusions Standard decompressive craniectomy is effective for severe craniocerebral injury .It can reduce postoperative complications and improve the blood biochemical and blood gas indexes of patients , which is worthy of clinical application .
作者
程杨玉
Cheng Yangyu(Department of Neurosurgery,the Second People＇s Hospital of Changzhi,Changzhi 046000,China)
出处
《中国实用医刊》
2018年第21期34-36,共3页
Chinese Journal of Practical Medicine
关键词
重型颅脑损伤
去骨瓣减压术
血液生化学
血气分析
Severe craniocerebral injury
Decompressive craniectomy
Blood biochemistry
Blood gas analysis
