摘要
目的探讨去骨瓣减压术治疗脑疝的临床效果。方法选取2016年1月至2019年6月广东医科大学附属第三医院收治的脑疝患者114例,按随机数字表法分为2组:对照组57例行常规去骨瓣减压术治疗,研究组57例行标准去骨瓣减压术治疗。比较2组临床疗效、格拉斯哥昏迷评分(GCS)、颅内压、术中失血量、手术时间、引流量、神经功能缺损程度评分(CSS)、简易精神状态评分(MMSE)。结果与对照组比较,研究组治疗总有效率、GCS评分显著增高,颅内压显著降低,术中失血量、手术时间、引流量显著减少,CSS评分显著降低,MMSE评分显著增高,差异均有统计学意义(均P<0.05)。结论标准去骨瓣减压术治疗脑疝临床效果显著,具有较为重要的临床意义。
Objective To investigate the clinical effect of decompressive craniectomy on cerebral hernia.Methods A total of 114 patients treated in the Third Affiliated Hospital of Guangdong Medical University from January 2016 to June 2019 for cerebral hernia were randomly assigned to receive either conventional decompressive craniectomy(control group,n=57)or standard decompressive craniectomy(study group,n=57).Clinical efficacy,Glasgow coma score(GCS),intracranial pressure,intraoperative blood loss,intracranial pressure was significantly reduced,operation time,drainage volume,neurological deficit score(CSS)and mini-mental state examination(MMSE)score were compared between the two groups.Results Compared with control group,the total effective rate,GCS and MMSE score increased and the intraoperative blood loss,operation time,drainage volume and CSS decreased in study group(P<0.05).Conclusion Standard decompressive craniectomy is an effective procedure that has important clinical significance in the treatment of cerebral hernia.
作者
翁明
蔡浩文
李琴花
WENG Ming;CAI Hao-wen;LI Qin-hua(Department of Neurosurgery,the Third Affiliated Hospital of Guangdong Medical University(Shunde District Longjiang Hospital of Foshan),Foshan 528318,China)
出处
《实用临床医学（江西）》
CAS
2020年第10期31-34,共4页
Practical Clinical Medicine
关键词
去骨瓣减压术
脑疝
临床疗效
格拉斯哥昏迷评分
颅内压
decompressive craniectomy
cerebral hernia
clinical effect
Glasgow coma score
intracranial pressure
