中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
12期
49-50,52
,共3页
急性弥漫性脑肿胀%大骨瓣开颅术%外伤%颅内压
急性瀰漫性腦腫脹%大骨瓣開顱術%外傷%顱內壓
급성미만성뇌종창%대골판개로술%외상%로내압
Acute diffuse brain swelling%Big craniotomy%Trauma%Intracranial pressure
目的:探讨大骨瓣开颅术治疗外伤后急性弥漫性脑肿胀的临床疗效。方法:选取我院在2010年3月~2013年3月收治的110例外伤后急性弥漫性脑肿胀患者作为研究对象。根据治疗方法的不同,将110例患者分为研究组和对照组,每组55例,研究组患者行大骨瓣开颅术进行治疗,对照组患者行常规开颅手术,对两组患者的治疗效果进行比较分析。结果:经治疗,研究组患者恢复良好率为42.3%(26/55),显著高于对照组21.8%(12/55),差异具有统计学意义(P<0.05);研究组的死亡率为18.2%,对照组为41.8%,研究组显著低于对照组,差异具有统计学意义(P<0.05);研究组患者的治疗有效率为76.4%,对照组为52.7%,组间比较,差异具有统计学意义(P<0.05)。结论:对于术后急性弥漫性脑肿胀患者行大骨瓣开颅术,可充分降低颅内压,使继发性颅脑损伤程度减轻,从而有效改善患者预后,降低死亡率。
目的:探討大骨瓣開顱術治療外傷後急性瀰漫性腦腫脹的臨床療效。方法:選取我院在2010年3月~2013年3月收治的110例外傷後急性瀰漫性腦腫脹患者作為研究對象。根據治療方法的不同,將110例患者分為研究組和對照組,每組55例,研究組患者行大骨瓣開顱術進行治療,對照組患者行常規開顱手術,對兩組患者的治療效果進行比較分析。結果:經治療,研究組患者恢複良好率為42.3%(26/55),顯著高于對照組21.8%(12/55),差異具有統計學意義(P<0.05);研究組的死亡率為18.2%,對照組為41.8%,研究組顯著低于對照組,差異具有統計學意義(P<0.05);研究組患者的治療有效率為76.4%,對照組為52.7%,組間比較,差異具有統計學意義(P<0.05)。結論:對于術後急性瀰漫性腦腫脹患者行大骨瓣開顱術,可充分降低顱內壓,使繼髮性顱腦損傷程度減輕,從而有效改善患者預後,降低死亡率。
목적:탐토대골판개로술치료외상후급성미만성뇌종창적림상료효。방법:선취아원재2010년3월~2013년3월수치적110예외상후급성미만성뇌종창환자작위연구대상。근거치료방법적불동,장110례환자분위연구조화대조조,매조55례,연구조환자행대골판개로술진행치료,대조조환자행상규개로수술,대량조환자적치료효과진행비교분석。결과:경치료,연구조환자회복량호솔위42.3%(26/55),현저고우대조조21.8%(12/55),차이구유통계학의의(P<0.05);연구조적사망솔위18.2%,대조조위41.8%,연구조현저저우대조조,차이구유통계학의의(P<0.05);연구조환자적치료유효솔위76.4%,대조조위52.7%,조간비교,차이구유통계학의의(P<0.05)。결론:대우술후급성미만성뇌종창환자행대골판개로술,가충분강저로내압,사계발성로뇌손상정도감경,종이유효개선환자예후,강저사망솔。
Objective:To investigate the clinical efficacy of large craniotomy on posttraumatic acute diffuse brain swelling. Methods:110 cases of posttraum atic acute diffuse brain sw elling in our hospital from March 2010 to March 2013 were selected as research objects. According to different treatments, 110 patients were divided into a research group and a control group, 55 cases in each group. Patients in the treatment group were treated with craniotomy , while patients in the control group treated with conventional cr aniotomy and the therapeutic effects of the two groups were compared. Results:After treatment , the good recovery rate of the research group was 42.3%(26/55 ) , sign ificantly h igher than 21.8%(12/55) of the control group, statistically significant dif ference(P<0.05). T he mortality of t he research group was 18.2%, 41.8%in the control group , and the research group was significantly lower than that of the control group , P<0.05;the effective rate of the research study group 76.4%, 52.7%in the control group,statistically significant difference(P<0.05). Compared the two groups, the difference was statistically s ignificant ( P<0.05 ).Conclusion:Large cran iotomy on posttraumatic acute diffuse brain swelling can canfully reduce in tracranial pr essure and the secondary br ain in jury , thereby effectively improve patient outcomes and reduce mortality.