摘要
目的探讨标准大骨瓣减压术治疗糖尿病合并重型颅脑损伤的效果。方法选取该科2016年5月—2018年5月收治的糖尿病合并重型颅脑损伤患者78例,随机分为两组,各39例,观察组采用标准大骨瓣减压术,对照组采用常规大骨瓣减压术。结果观察组良好率51.3%显著高于对照组,死亡率7.7%显著低于对照组(P<0.05);FPG及并发症发生率显著低于对照组(P<0.05)。结论糖尿病合并重型颅脑损伤患者采取标准大骨瓣减压术,可有效降低术后继发脑损伤,改善预后。
Objective To investigate the effect of standard large bone flap decompression on diabetic patients with severe craniocerebral injury. Methods A total of 78 patients with diabetes mellitus complicated with severe craniocerebral injury admitted to our department from May 2016 to May 2018 were randomly divided into two groups: 39 patients each. The observation group was treated with standard large bone decompression and the control group was conventional bone decompression. Results The good rate of observation group was 51.3%, which was significantly higher than that of the control group. The mortality rate was 7.7% significantly lower than that of the control group(P<0.05). The incidence of FPG and complication was significantly lower than that of the control group(P<0.05). Conclusion Patients with diabetes complicated with severe craniocereb ral injury can reduce the secondary brain injury and improve the prognosis by adopting standard large bone decompression.
作者
李铁男
LI Tie-nan(Department of Neurosurgery, Changchun Central Hospital, Changchun, Jilin Province, 130000 China)
出处
《糖尿病新世界》
2019年第5期45-46,共2页
Diabetes New World Magazine
关键词
标准大骨瓣减压术
糖尿病
重型颅脑损伤
Standard large bone flap decompression
Diabetes
Severe head injury
