控制性阶梯式减压在重型颅脑损伤治疗中的应用价值探讨.docVIP

控制性阶梯式减压在重型颅脑损伤治疗中的应用价值探讨 　　[摘要] 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（P0.05）。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（P0.05）。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。 　　[关键词] 重型颅脑损伤；控制性阶梯式减压术；临床疗效；应用价值 　　[中图分类号] R651 [文献标识码] A [文章编号] 1674-0742（2014）08（b）-0029-02 　　[Abstract] 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（P0.05）. 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 （P0.05）. 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. 　　[Key words] Severe craniocerebral injury； Controlled staircase decompression； Clinical efficacy； Application value 　　重型颅脑损伤是临床中常见疾病之一，在临床中具有较高的死亡率，严重的影响患者的身体健康。临床中常常采取标准外伤大骨瓣减压术治疗，但是总体的效果并不是很理想[1-2]。因此，该