医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
5期
36-36
,共1页
重型颅脑外伤%去骨瓣减压术%早期治疗
重型顱腦外傷%去骨瓣減壓術%早期治療
중형로뇌외상%거골판감압술%조기치료
Severe craniocerebral%trauma to the early treatment of bone%flap decompression
目的：探讨重型颅脑外伤去骨瓣减压术后早期治疗临床效果。方法选取我院2008年3月-2012年6月收治的100例重型颅脑外伤患者作为研究对象，分为观察组和对照组各50例，两组均采用标准大骨瓣开颅术治疗，观察组患者在术后给予早期的康复治疗，对照组则给予常规术后治疗，比较两组患者恢复情况并对两组良好率和死亡率进行比较，进行统计学分析。结果按伤后6个月随访预后结果（6-GOS），观察组恢复良好22例，重残植物状态25例，死亡3例；对照组恢复良好19例，重残植物状态18例，死亡13例，两组比较，死亡率差有显著性（P＜0．05），通过术后的早期治疗，观察组颅内压下降优于对照组（P＜0．01）。结论通过对重型颅脑外伤去骨瓣减压术后的早期治疗可以提高促醒成功率，为恢复期的功能康复打下良好基础。
目的：探討重型顱腦外傷去骨瓣減壓術後早期治療臨床效果。方法選取我院2008年3月-2012年6月收治的100例重型顱腦外傷患者作為研究對象，分為觀察組和對照組各50例，兩組均採用標準大骨瓣開顱術治療，觀察組患者在術後給予早期的康複治療，對照組則給予常規術後治療，比較兩組患者恢複情況併對兩組良好率和死亡率進行比較，進行統計學分析。結果按傷後6箇月隨訪預後結果（6-GOS），觀察組恢複良好22例，重殘植物狀態25例，死亡3例；對照組恢複良好19例，重殘植物狀態18例，死亡13例，兩組比較，死亡率差有顯著性（P＜0．05），通過術後的早期治療，觀察組顱內壓下降優于對照組（P＜0．01）。結論通過對重型顱腦外傷去骨瓣減壓術後的早期治療可以提高促醒成功率，為恢複期的功能康複打下良好基礎。
목적：탐토중형로뇌외상거골판감압술후조기치료림상효과。방법선취아원2008년3월-2012년6월수치적100례중형로뇌외상환자작위연구대상，분위관찰조화대조조각50례，량조균채용표준대골판개로술치료，관찰조환자재술후급여조기적강복치료，대조조칙급여상규술후치료，비교량조환자회복정황병대량조량호솔화사망솔진행비교，진행통계학분석。결과안상후6개월수방예후결과（6-GOS），관찰조회복량호22례，중잔식물상태25례，사망3례；대조조회복량호19례，중잔식물상태18례，사망13례，량조비교，사망솔차유현저성（P＜0．05），통과술후적조기치료，관찰조로내압하강우우대조조（P＜0．01）。결론통과대중형로뇌외상거골판감압술후적조기치료가이제고촉성성공솔，위회복기적공능강복타하량호기출。
purpose To investigate the clinical ef ect of treatment of severe craniocerebral trauma in early stage after decompressive craniectomy.Method 100 cases of severe craniocere-bral trauma patients in our hospital in 2008 March -2012 year in June as the research object,is divided into the observation group and the control group with 50 cases in each group,two groups were treated by standard large trauma craniotomy in the treatment,the patients in observation group were given early rehabilitation after operation,while the control group received routine postop-erative treatment,comparison of two groups of the recovery of patients and to compare the two groups of good rate and mortality,statistical analysis.Result At 6 months fol ow-up after injury out-comes (6-GOS),the observation group 22 cases of good recovery,heavy residual vegetative state in 25 cases,3 cases of death;the control group 19 cases of good recovery,heavy residual veg-etative state in 18 cases,13 cases ofdeath,mortality between the two groups,there was significant diference (P<0.05),through early the treatment ofpostoperative intracranial pressure drop, the observation group than in control group (P<0.01).Conclusion Based on the early treatment of severe craniocerebral trauma to the bone flap decompression can improve the success rate of waking up,a good foundation for functional rehabilitation period.
