中国实用医刊
中國實用醫刊
중국실용의간
Chinese Journal of Practical Medicine
2015年
22期
81-82,83
,共3页
开颅减压术%重型脑创伤%早期疗效
開顱減壓術%重型腦創傷%早期療效
개로감압술%중형뇌창상%조기료효
Decompressive craniotomy%Severe traumatic brain injury%Early effect
目的：探讨改良外伤大骨瓣开颅减压术治疗重型脑创伤的早期疗效。方法选择2012年4月至2014年8月重型脑创伤患者74例，随机分为两组，每组37例。对照组施以常规骨瓣减压术，实验组实施改良外伤大骨瓣开颅减压术，观察两组治疗效果。结果实验组预后良好率（81.08％）高于对照组（62.16％），术后7 d GCS评分[（9.76±1.43）分]优于对照组[（7.53±1.06）分]，差异均有统计学意义（P＜0.05）。结论改良外伤大骨瓣手术治疗重型脑创伤早期疗效确切，临床上应引起足够重视。
目的：探討改良外傷大骨瓣開顱減壓術治療重型腦創傷的早期療效。方法選擇2012年4月至2014年8月重型腦創傷患者74例，隨機分為兩組，每組37例。對照組施以常規骨瓣減壓術，實驗組實施改良外傷大骨瓣開顱減壓術，觀察兩組治療效果。結果實驗組預後良好率（81.08％）高于對照組（62.16％），術後7 d GCS評分[（9.76±1.43）分]優于對照組[（7.53±1.06）分]，差異均有統計學意義（P＜0.05）。結論改良外傷大骨瓣手術治療重型腦創傷早期療效確切，臨床上應引起足夠重視。
목적：탐토개량외상대골판개로감압술치료중형뇌창상적조기료효。방법선택2012년4월지2014년8월중형뇌창상환자74례，수궤분위량조，매조37례。대조조시이상규골판감압술，실험조실시개량외상대골판개로감압술，관찰량조치료효과。결과실험조예후량호솔（81.08％）고우대조조（62.16％），술후7 d GCS평분[（9.76±1.43）분]우우대조조[（7.53±1.06）분]，차이균유통계학의의（P＜0.05）。결론개량외상대골판수술치료중형뇌창상조기료효학절，림상상응인기족구중시。
Objective To observe the early effect of modified large trauma craniotomy surgery on severe traumatic brain injury.Methods From April 2012 to August 2014,74 patients with severe traumatic brain injury were selected, and were randomly divided into two groups, with 37 cases in each group.The control group was treated with routine craniecto-my, and experiment group was given improved trauma big bone flap craniotomy, the clinical therapeutic effects of the two groups were observed.Results In experiment group, the recovery rate (81.08%) was significantly higher than that of the control group (62.16%), postoperative 7dGCS score (9.76 ±1.43) was significantly better than that of the control group (7.53 ±1.06),the differences were significant (P<0.05).Conclusions Early curative effect of modified large trauma craniotomy surgery on severe traumatic brain injury is significant, so clinical attention should be paid.
