中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
14期
76-76,78
,共2页
颅脑外伤%标准大骨瓣减压手术%常规减压疗法
顱腦外傷%標準大骨瓣減壓手術%常規減壓療法
로뇌외상%표준대골판감압수술%상규감압요법
Craniocerebral trauma%Standard big bone flap decompression surgery%Conventional decompression therapy
目的：针对颅脑外伤患者，研究分析对其行标准大骨瓣减压手术的疗效。方法：抽取颅脑外伤患者50例，随机分为试验组和对照组，每组25例，试验组采用标准大骨瓣减压疗法，对照组采用常规开颅减压疗法，对比两组的治疗效果。结果：试验组死亡5例(20%)，重度残疾/植物状态7例(28%)，中度残疾/良好13例(52%)；对照组死亡10例(40%)，重度残疾/植物状态10例(40%)，中度残疾/良好5例(20%)。试验组患者的死亡率、残疾/良好率明显低于对照组(P＜0.01)。结论：采用标准大骨瓣减压手术治疗颅脑外伤可以有效地保护其功能，同时使脑部组织充分减压，降低了死亡率。
目的：針對顱腦外傷患者，研究分析對其行標準大骨瓣減壓手術的療效。方法：抽取顱腦外傷患者50例，隨機分為試驗組和對照組，每組25例，試驗組採用標準大骨瓣減壓療法，對照組採用常規開顱減壓療法，對比兩組的治療效果。結果：試驗組死亡5例(20%)，重度殘疾/植物狀態7例(28%)，中度殘疾/良好13例(52%)；對照組死亡10例(40%)，重度殘疾/植物狀態10例(40%)，中度殘疾/良好5例(20%)。試驗組患者的死亡率、殘疾/良好率明顯低于對照組(P＜0.01)。結論：採用標準大骨瓣減壓手術治療顱腦外傷可以有效地保護其功能，同時使腦部組織充分減壓，降低瞭死亡率。
목적：침대로뇌외상환자，연구분석대기행표준대골판감압수술적료효。방법：추취로뇌외상환자50례，수궤분위시험조화대조조，매조25례，시험조채용표준대골판감압요법，대조조채용상규개로감압요법，대비량조적치료효과。결과：시험조사망5례(20%)，중도잔질/식물상태7례(28%)，중도잔질/량호13례(52%)；대조조사망10례(40%)，중도잔질/식물상태10례(40%)，중도잔질/량호5례(20%)。시험조환자적사망솔、잔질/량호솔명현저우대조조(P＜0.01)。결론：채용표준대골판감압수술치료로뇌외상가이유효지보호기공능，동시사뇌부조직충분감압，강저료사망솔。
Objective:To study and discuss the curative effect of standard big bone flap decompression surgery for the patients with craniocerebral trauma.Methods:50 cases of patients with craniocerebral trauma were randomly divided into the experimental group and the control group with 25 patients in each group.The experimental group used the standard big bone flap decompression therapy,while the control group used conventional craniotomy decompression therapy.Compare the treatment effect of two groups.Results:In the experimental group,5 cases were died(20%),7 cases were severe disability/vegetative state(28%),13 cases were moderate disability/good(52%).In the control group,10 cases were died(40%),10 cases were severe disability/vegetative state(40%),5 cases were moderate disability/good(20%).The death rate and disability/good rate of patients in the experimental group were significantly lower than that of the control group(P<0.01).Conclusion: Using standard big bone flap decompression surgery in the treatment of craniocerebral trauma can be effective protection function.It can fully reduced brain tissue pressure, and reduce the mortality at the same time.
