CAJ | 학술논문

目的：探讨临床中控制性阶梯式减压术在重型颅脑损伤治疗中的应用效果。方法选取该院2009年1月—2012年12月间的112例重型颅脑损伤患者为研究对象，将其按照随机数字法分为研究组和对照组，均56例。对照组给予大骨瓣减压手术，研究组给予控制性阶梯式减压手术，观察两组的临床治疗效果。结果研究组并发症发生率为10.7%，对照组并发症发生率为33.9%，研究组并发症发生率明显的低于对照组，差异有统计学意义（P<0.05）。研究组预后良好率为75.0%，对照组预后良好率为48.2%，研究组预后良好率明显的高于对照组，差异有统计学意义（P<0.05）。结论临床中对于重型颅脑损伤患者应用控制性阶梯式减压术治疗效果明显，能够有效地降低相关并发症，减少死亡率，值得临床中应应用。
목적：탐토림상중공제성계제식감압술재중형로뇌손상치료중적응용효과。방법선취해원2009년1월—2012년12월간적112례중형로뇌손상환자위연구대상，장기안조수궤수자법분위연구조화대조조，균56례。대조조급여대골판감압수술，연구조급여공제성계제식감압수술，관찰량조적림상치료효과。결과연구조병발증발생솔위10.7%，대조조병발증발생솔위33.9%，연구조병발증발생솔명현적저우대조조，차이유통계학의의（P<0.05）。연구조예후량호솔위75.0%，대조조예후량호솔위48.2%，연구조예후량호솔명현적고우대조조，차이유통계학의의（P<0.05）。결론림상중대우중형로뇌손상환자응용공제성계제식감압술치료효과명현，능구유효지강저상관병발증，감소사망솔，치득림상중응응용。
Objective To study the application effect of the controlled staircase decompression in patients with severe craniocerebral injury. Methods A total of 112 patients with severe craniocerebral injury who received treatment in our hospital from January 2009 and December 2012 were included and randomly assigned to the study group and the control group, 56 cases in each group. Patients in the control group underwent decompression by large craniotomy. Patients in the study group underwent controlled staircase decompression. The clinical outcomes in two groups were observed. Results The incidence of complications in the study group was 10.7%, while it was 33.9% in the control group. The incidence of complications in the study group was significantly lower than that in the control group with a statistical significance(P<0.05). The rate of favorable prognosis in the study group was 75.0%, while it was 48.2% in the control group. The rate of favorable prognosis in the study group was significantly higher than that in the control group with a statistical significance (P<0.05). Conclusion The controlled staircase decompression is effective for patients with severe craniocerebral injury, which can reduce the related complications and mortality, and is worthy of application in the clinical treatment.