中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2013年
9期
7-8
,共2页
相继%双侧去大骨瓣%减压治疗%弥漫性脑肿胀%病死率%致残率%临床疗效
相繼%雙側去大骨瓣%減壓治療%瀰漫性腦腫脹%病死率%緻殘率%臨床療效
상계%쌍측거대골판%감압치료%미만성뇌종창%병사솔%치잔솔%림상료효
Hemicraniectomy%Decompression treatment%Mortality%Morbidity
目的：对相继双侧去大骨瓣减压治疗弥漫性脑肿胀临床效果和安全性进行分析。方法：选取2009年12月～2012年12月我院收治弥漫性脑肿胀患者1200例，随机分为2组，甲组患者600例，采用传统单侧去大骨瓣减压治疗；乙组患者600例，采用双侧去大骨瓣减压治疗，对比2组患者的临床治疗效果。结果：乙组患者的临床治疗效果显著优越于甲组患者，差异性显著，具有统计学意义（P＜0．05）。乙组患者病死率、致残率显著优越于甲组患者，差异性显著，具有统计学意义（P＜0．05）。2组患者住院治疗时间对比无显著性差异，无统计学意义（P＞0．05）。2组患者均为发生因治疗导致严重后果发生。结论：采用相继双侧去大骨瓣减压治疗弥漫性脑肿胀可显著提高患者的临床治疗效果、降低术后病死率、致残率，安全性较高，可依据患者的情况进行应用治疗。
目的：對相繼雙側去大骨瓣減壓治療瀰漫性腦腫脹臨床效果和安全性進行分析。方法：選取2009年12月～2012年12月我院收治瀰漫性腦腫脹患者1200例，隨機分為2組，甲組患者600例，採用傳統單側去大骨瓣減壓治療；乙組患者600例，採用雙側去大骨瓣減壓治療，對比2組患者的臨床治療效果。結果：乙組患者的臨床治療效果顯著優越于甲組患者，差異性顯著，具有統計學意義（P＜0．05）。乙組患者病死率、緻殘率顯著優越于甲組患者，差異性顯著，具有統計學意義（P＜0．05）。2組患者住院治療時間對比無顯著性差異，無統計學意義（P＞0．05）。2組患者均為髮生因治療導緻嚴重後果髮生。結論：採用相繼雙側去大骨瓣減壓治療瀰漫性腦腫脹可顯著提高患者的臨床治療效果、降低術後病死率、緻殘率，安全性較高，可依據患者的情況進行應用治療。
목적：대상계쌍측거대골판감압치료미만성뇌종창림상효과화안전성진행분석。방법：선취2009년12월～2012년12월아원수치미만성뇌종창환자1200례，수궤분위2조，갑조환자600례，채용전통단측거대골판감압치료；을조환자600례，채용쌍측거대골판감압치료，대비2조환자적림상치료효과。결과：을조환자적림상치료효과현저우월우갑조환자，차이성현저，구유통계학의의（P＜0．05）。을조환자병사솔、치잔솔현저우월우갑조환자，차이성현저，구유통계학의의（P＜0．05）。2조환자주원치료시간대비무현저성차이，무통계학의의（P＞0．05）。2조환자균위발생인치료도치엄중후과발생。결론：채용상계쌍측거대골판감압치료미만성뇌종창가현저제고환자적림상치료효과、강저술후병사솔、치잔솔，안전성교고，가의거환자적정황진행응용치료。
Objective:To analyze the clinical efficacy and safty of successionly bilateral removing hemicraniectomy decompression treatment for diffuse brain swelling .Methods:1200 cases of diffuse brain swelling patients admitted in our hospital between Dec .2009 and Dec.2012 were divided radomly into two groups .600 cases of patients in Group A received traditional unilateral removing hemicrani-ectomy decompression treatment , while the 600 cases of patients in Group B received successionly bilateral removing hemicraniectomy treatment .The comparison of clinical efficacy between the two groups was made .Results:The clinical efficacy of paients in Group B was significantly better than paients in Group A , the difference was statistically significant (P<0.05).The mortality and morbidity of the pa-tients in Group B was significantly better than Group A , the difference was statistically significant (P<0.05).The hospitalization time between the two groups had no difference , the difference was not statistically significant ( P>0 .05 ) .All the patients in the two groups didn't have any serious consequences due to the treatment .Conclusion:Successionly bilateral removing hemicraniectomy decompression treatment for diffuse brain swelling can significantly improve the clinical efficacy and decrease the mortality and morbidity of the patients after the surgery .It is safe and can apply based on the actual situation of the patients .
