中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
25期
6-7
,共2页
王磊%朱旗海%孙政%姚进
王磊%硃旂海%孫政%姚進
왕뢰%주기해%손정%요진
标准去骨瓣减压手术%重型颅脑损伤%临床疗效
標準去骨瓣減壓手術%重型顱腦損傷%臨床療效
표준거골판감압수술%중형로뇌손상%림상료효
Decompressive craniectomy surgery%Severe craniocerebral injury%Clinical effect
目的：评价标准去骨瓣减压手术治疗重型颅脑损伤的临床疗效及安全性。方法：选取2010年6月-2013年5月笔者所在医院收治的重型颅脑损伤患者100例，随机分为观察组和对照组，其中观察组50例采用标准去骨瓣减压手术治疗，对照组50例采用常规去骨瓣减压手术治疗，观察并比较两组患者临床疗效、治疗前后GCS评分变化情况及治疗后颅内压测量值。结果：观察组总有效率为92%，对照组总有效率为80%，两组患者临床疗效比较差异有统计学意义(P<0.05)；两组患者治疗后相比同组治疗前评分均有明显升高，但观察组升高程度更为明显，两组比较差异有统计学意义(P<0.05)；观察组在术后第1、3天颅内压明显低于对照组，差异有统计学意义(P<0.05)。结论：采用标准去骨瓣减压手术治疗重型颅脑损伤临床疗效好，患者恢复快，值得在临床上予以推广。
目的：評價標準去骨瓣減壓手術治療重型顱腦損傷的臨床療效及安全性。方法：選取2010年6月-2013年5月筆者所在醫院收治的重型顱腦損傷患者100例，隨機分為觀察組和對照組，其中觀察組50例採用標準去骨瓣減壓手術治療，對照組50例採用常規去骨瓣減壓手術治療，觀察併比較兩組患者臨床療效、治療前後GCS評分變化情況及治療後顱內壓測量值。結果：觀察組總有效率為92%，對照組總有效率為80%，兩組患者臨床療效比較差異有統計學意義(P<0.05)；兩組患者治療後相比同組治療前評分均有明顯升高，但觀察組升高程度更為明顯，兩組比較差異有統計學意義(P<0.05)；觀察組在術後第1、3天顱內壓明顯低于對照組，差異有統計學意義(P<0.05)。結論：採用標準去骨瓣減壓手術治療重型顱腦損傷臨床療效好，患者恢複快，值得在臨床上予以推廣。
목적：평개표준거골판감압수술치료중형로뇌손상적림상료효급안전성。방법：선취2010년6월-2013년5월필자소재의원수치적중형로뇌손상환자100례，수궤분위관찰조화대조조，기중관찰조50례채용표준거골판감압수술치료，대조조50례채용상규거골판감압수술치료，관찰병비교량조환자림상료효、치료전후GCS평분변화정황급치료후로내압측량치。결과：관찰조총유효솔위92%，대조조총유효솔위80%，량조환자림상료효비교차이유통계학의의(P<0.05)；량조환자치료후상비동조치료전평분균유명현승고，단관찰조승고정도경위명현，량조비교차이유통계학의의(P<0.05)；관찰조재술후제1、3천로내압명현저우대조조，차이유통계학의의(P<0.05)。결론：채용표준거골판감압수술치료중형로뇌손상림상료효호，환자회복쾌，치득재림상상여이추엄。
Objective:To evaluate the clinical efficacy of severe brain injury with standard decompressive craniectomy surgery.Method:From June 2010 to May 2013 in our hospital 100 cases with severe brain injury were randomly divided into the observation group(n=50) and the control group(n=50),the observation group treated with standard decompressive craniectomy surgery,the control group treated with conventional decompressive craniectomy surgery,observing and comparing the clinical efficacy in patients with GCS scores before and after treatment and changes in intracranial pressure values.Result:The total effective rate of the observation group was 92%,the control group was 80%,comparing the two groups were statistically significant differences in clinical efficacy(P<0.05). GCS score was observed after treatment the observation group was significantly higher compared with the the control group,the difference was statistically significant(P<0.05).The observation group in the first postoperative day and 3 days after intracranial pressure was significantly lower than the control group,the difference was statistically significant(P<0.05).Conclusion:The treatment of severe traumatic brain injury with standard decompressive craniectomy surgery has a good clinical efficacy,recover faster,deserve to be promoted in clinical bone decompression surgery.
