中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
14期
2149-2150
,共2页
颅脑损伤%额叶%挫伤%颅内压%疝,脑
顱腦損傷%額葉%挫傷%顱內壓%疝,腦
로뇌손상%액협%좌상%로내압%산,뇌
Craniocerebral trauma%Frontal lobe%Contusions%Intracranial pressure%Hernia,cerebral
目的：探讨双额叶重度脑挫裂伤并发中央型脑疝的早期治疗效果。方法选取双额叶重度脑挫裂伤并发中央型脑疝患者54例，采用随机数字表法分为观察组和对照组，观察组采用早期手术治疗，对照组则不接受手术治疗。比较两组临床疗效及预后。结果经过治疗后，观察组GCS评分（12．98±3．85）分，显著高于对照组的（11．35±4．12）分（t＝2．354，P＜0．05），观察组ICU时间及总入院时间明显短于对照组（t＝10．007，P＜0．01；t＝19．278，P＜0．01）；观察组恢复良好率（40．74％）显著高于对照组（14．81％）（χ2＝4.523，P＜0．05），观察组中残率、重残率、植物生存率及病死率（33．33％、14．81％、7．41％、3．70％）均低于对照组（44．44％、22．22％、11．11％、7．41％），但差异均无统计学意义（χ2＝2．587、2．135、2．268、2．189，均P＞0.05）。结论对双额叶重度脑挫裂伤并发中央型脑疝患者进行早期诊断，采用手术治疗方法进行开颅减压，能明显提高治愈率，有效改善预后。
目的：探討雙額葉重度腦挫裂傷併髮中央型腦疝的早期治療效果。方法選取雙額葉重度腦挫裂傷併髮中央型腦疝患者54例，採用隨機數字錶法分為觀察組和對照組，觀察組採用早期手術治療，對照組則不接受手術治療。比較兩組臨床療效及預後。結果經過治療後，觀察組GCS評分（12．98±3．85）分，顯著高于對照組的（11．35±4．12）分（t＝2．354，P＜0．05），觀察組ICU時間及總入院時間明顯短于對照組（t＝10．007，P＜0．01；t＝19．278，P＜0．01）；觀察組恢複良好率（40．74％）顯著高于對照組（14．81％）（χ2＝4.523，P＜0．05），觀察組中殘率、重殘率、植物生存率及病死率（33．33％、14．81％、7．41％、3．70％）均低于對照組（44．44％、22．22％、11．11％、7．41％），但差異均無統計學意義（χ2＝2．587、2．135、2．268、2．189，均P＞0.05）。結論對雙額葉重度腦挫裂傷併髮中央型腦疝患者進行早期診斷，採用手術治療方法進行開顱減壓，能明顯提高治愈率，有效改善預後。
목적：탐토쌍액협중도뇌좌렬상병발중앙형뇌산적조기치료효과。방법선취쌍액협중도뇌좌렬상병발중앙형뇌산환자54례，채용수궤수자표법분위관찰조화대조조，관찰조채용조기수술치료，대조조칙불접수수술치료。비교량조림상료효급예후。결과경과치료후，관찰조GCS평분（12．98±3．85）분，현저고우대조조적（11．35±4．12）분（t＝2．354，P＜0．05），관찰조ICU시간급총입원시간명현단우대조조（t＝10．007，P＜0．01；t＝19．278，P＜0．01）；관찰조회복량호솔（40．74％）현저고우대조조（14．81％）（χ2＝4.523，P＜0．05），관찰조중잔솔、중잔솔、식물생존솔급병사솔（33．33％、14．81％、7．41％、3．70％）균저우대조조（44．44％、22．22％、11．11％、7．41％），단차이균무통계학의의（χ2＝2．587、2．135、2．268、2．189，균P＞0.05）。결론대쌍액협중도뇌좌렬상병발중앙형뇌산환자진행조기진단，채용수술치료방법진행개로감압，능명현제고치유솔，유효개선예후。
Objective To investigate the bilateral frontal cerebral contusion complicated by severe central herniation early treatment .Methods 54 cases of severe bilateral frontal cerebral contusion complicated by central herniation patients were randomly divided into the observation group and control group using number table .The obser-vation group were taken the early surgical treatment and the control group were not underwent surgery .The clinical symptoms and prognosis of treatment were compared .Results After treatment ,the GCS score of the observation group was (12.98 ±3.85),which was higher than (11.35 ±4.12) of the control group(t=2.354,P<0.05),and the total time of the observation group ICU hospitalization time was significantly lower than the control group (t=10.007,P<0.01;t=19.278,P<0.01);The good recovery rate of the observation group (40.74%) was higher than the control group(14.81%)(χ2 =4.523,P<0.05),the residual rate of the observation group ,severe disability rate,plant sur-vival and mortality (33.33%,14.81%,7.41%,3.70%) were lower than that of the control group (44.44%, 22.22%,11.11%,7.41%),but the difference was not significant between the two groups (χ2 =2.587,2.135, 2.268,2.189,all P>0.05).Conclusion Dual frontal severe brain injury complicated by central herniation patients with early diagnosis and surgical treatment method using craniotomy decompression can significantly improve the cure rate and effectively improve the prognosis of patients with treatment .
