Objective: to observe the clinical effect of meningeal patch combined with large bone flap decompression in the treatment of craniocerebral injury. Methods: from November, 2018 to December, 2019, 100 patients with cra...Objective: to observe the clinical effect of meningeal patch combined with large bone flap decompression in the treatment of craniocerebral injury. Methods: from November, 2018 to December, 2019, 100 patients with craniocerebral injury were selected as the research and observation objects. They were randomly divided into experimental group and control group. There were 50 cases in each group. The control group was treated with general large bone flap decompression, while the experimental group was treated with meningeal patch on the basis of the control group. Mainly to compare the complications, prognosis and NIHSS score between the two groups after treatment. Results: the prognosis of the patients in the experimental group was better than that in the control group, and the total complication rate of the experimental group was 12.00%, which was obviously lower than that of the control group by 34.00%. The NIHSS score of the experimental group was obviously better than that of the control group, and the difference between the two groups was statistically significant (P < 0.05). Conclusion: during the treatment of craniocerebral injury patients, the use of meningeal patch plus large bone flap decompression can greatly improve the prognosis, minimize the occurrence of complications and optimize the neurological function. It is recommended to use it reasonably in clinic.展开更多
Objective: to explore and analyze the clinical research of long-term complications after decompressive craniectomy in patients with severe craniocerebral injury. Methods: this study is a retrospective study. Our hospi...Objective: to explore and analyze the clinical research of long-term complications after decompressive craniectomy in patients with severe craniocerebral injury. Methods: this study is a retrospective study. Our hospital randomly selected 300 patients with severe craniocerebral injury from January, 2011 to December, 2016 as the research object, and divided them into two groups according to whether they had pulmonary infection, the control group with 150 patients and the observation group with 150 patients. The patients were treated with decompressive craniectomy, and the curative effect and prognosis of the two groups were compared. Results: among the 300 patients with severe craniocerebral injury, 175 patients underwent unilateral decompressive craniectomy and 125 patients underwent bilateral decompressive craniectomy. The long-term complications caused by the operation included death, subdural effusion, hydrocephalus, epilepsy and encephalocele. There were 203 cases of cranioplasty, and the long-term complications caused by the operation included bone flap infection, bone flap absorption and sudden death. Conclusion: long-term complications after decompressive craniectomy in patients with severe craniocerebral injury are common in clinic. Early intervention is needed to reduce the risk of complications and provide patients with peace of mind and high-quality nursing services.展开更多
Objective: to explore the application effect of high-quality nursing in practical nursing for patients with severe craniocerebral injury undergoing decompressive craniectomy. Methods: 70 patients with severe craniocer...Objective: to explore the application effect of high-quality nursing in practical nursing for patients with severe craniocerebral injury undergoing decompressive craniectomy. Methods: 70 patients with severe craniocerebral injury in our hospital were randomly divided into the control group (routine nursing) and the experimental group (high-quality nursing) on average. The indexes before and after the intervention were observed and compared between the two groups, including neurological deficit, coma degree, pain degree, living ability, motor function, complications and adverse mood changes. Results: After the intervention, during the perioperative period, compared with the control group, the patients in the experimental group had lower scores of SAS and SDS, lower scores of NHISS and FRC, higher scores of GCS, higher scores of living ability and motor function, and lower incidence of complications. There were significant differences in the above indexes between the two groups of patients with severe craniocerebral injury (P < 0.05). Conclusion: in the perioperative nursing of severe craniocerebral injury with decompressive craniectomy, the application effect of high-quality nursing mode is remarkable, and it is worth being the first choice of nursing method, which has the significance of popularization and popularization.展开更多
文摘Objective: to observe the clinical effect of meningeal patch combined with large bone flap decompression in the treatment of craniocerebral injury. Methods: from November, 2018 to December, 2019, 100 patients with craniocerebral injury were selected as the research and observation objects. They were randomly divided into experimental group and control group. There were 50 cases in each group. The control group was treated with general large bone flap decompression, while the experimental group was treated with meningeal patch on the basis of the control group. Mainly to compare the complications, prognosis and NIHSS score between the two groups after treatment. Results: the prognosis of the patients in the experimental group was better than that in the control group, and the total complication rate of the experimental group was 12.00%, which was obviously lower than that of the control group by 34.00%. The NIHSS score of the experimental group was obviously better than that of the control group, and the difference between the two groups was statistically significant (P < 0.05). Conclusion: during the treatment of craniocerebral injury patients, the use of meningeal patch plus large bone flap decompression can greatly improve the prognosis, minimize the occurrence of complications and optimize the neurological function. It is recommended to use it reasonably in clinic.
文摘Objective: to explore and analyze the clinical research of long-term complications after decompressive craniectomy in patients with severe craniocerebral injury. Methods: this study is a retrospective study. Our hospital randomly selected 300 patients with severe craniocerebral injury from January, 2011 to December, 2016 as the research object, and divided them into two groups according to whether they had pulmonary infection, the control group with 150 patients and the observation group with 150 patients. The patients were treated with decompressive craniectomy, and the curative effect and prognosis of the two groups were compared. Results: among the 300 patients with severe craniocerebral injury, 175 patients underwent unilateral decompressive craniectomy and 125 patients underwent bilateral decompressive craniectomy. The long-term complications caused by the operation included death, subdural effusion, hydrocephalus, epilepsy and encephalocele. There were 203 cases of cranioplasty, and the long-term complications caused by the operation included bone flap infection, bone flap absorption and sudden death. Conclusion: long-term complications after decompressive craniectomy in patients with severe craniocerebral injury are common in clinic. Early intervention is needed to reduce the risk of complications and provide patients with peace of mind and high-quality nursing services.
文摘Objective: to explore the application effect of high-quality nursing in practical nursing for patients with severe craniocerebral injury undergoing decompressive craniectomy. Methods: 70 patients with severe craniocerebral injury in our hospital were randomly divided into the control group (routine nursing) and the experimental group (high-quality nursing) on average. The indexes before and after the intervention were observed and compared between the two groups, including neurological deficit, coma degree, pain degree, living ability, motor function, complications and adverse mood changes. Results: After the intervention, during the perioperative period, compared with the control group, the patients in the experimental group had lower scores of SAS and SDS, lower scores of NHISS and FRC, higher scores of GCS, higher scores of living ability and motor function, and lower incidence of complications. There were significant differences in the above indexes between the two groups of patients with severe craniocerebral injury (P < 0.05). Conclusion: in the perioperative nursing of severe craniocerebral injury with decompressive craniectomy, the application effect of high-quality nursing mode is remarkable, and it is worth being the first choice of nursing method, which has the significance of popularization and popularization.
