早期颅骨修补联合脑室腹腔分流治疗脑外伤临床效果分析.docVIP

早期颅骨修补联合脑室腹腔分流治疗脑外伤临床效果分析 　　[摘要] 目的 分析探?早期颅骨修补联合脑室腹腔分流治疗脑外伤的临床效果。方法 方便选取2014年1月―2016年8月期间该院收治的141例脑外伤患者，采用随机数字表法分为观察组（n=70）和对照组（n=71）。对照组患者采用脑室腹腔分流联合后期颅骨修补术治疗，观察组患者脑室腹腔分流联合早期颅骨修补术治疗。分析比较两组患者的预后情况、不良反应情况、住院时间和患者治疗前后的神经功能缺损评分、格拉斯哥昏迷指数（GCS）评分。结果 观察组患者的预后良好率高于对照组（40.00%、23.94%），致残率小于对照组（35.71%、54.93%），差异有统计学意义（P0.05）；治疗后，两组患者的神经功能缺损评分明显降低，GCS评分明显升高，观察组患者的住院时间短于对照组[（23.07±3.84）分、（30.30±3.57）分]，神经功能缺损评分小于对照组[（14.35±2.75）分、（20.37±3.68）分]，GCS评分大于对照组[（14.67±2.84）分、（10.49±2.52）分]，差异有统计学意义（P0.05）；观察组患者的不良反应率低于对照组（12.86%，26.76%），差异有统计学意义（P0.05）。结论 早期颅骨修补联合脑室腹腔分流治疗脑外伤能显著提高患者的治疗效果，改善患者的神经功能，安全性高。 　　[关键词] 早期颅骨修补；脑室腹腔分流；脑外伤；临床效果 　　[中图分类号] R651 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0107-03 　　Analysis of Clinical Effect of Early Skull Defect Repair Combined with Ventriculo Peritoneal Shunt in Treatment of Brain Trauma 　　DING Jian-jun， LI Lei， YU Xu-dong， WANG Shao-guang， WANG Ke-hui， XU Qing-jie， FU Ji-dong 　　Department of Neurosurgery， Longkou People’s Hospital， Longkou， Shandong Province， 265700 China 　　[Abstract] Objective To analyze the clinical effect of early skull defect repair combined with ventriculo peritoneal shunt in treatment of brain trauma. Methods 141 cases of patients with brain trauma admitted and treated in our hospital from January 2014 to August 2016 were convenient selected and randomly divided into two groups， the control group （n=71）were treated with ventriculo peritoneal shunt and late skull defect repair， while the observation group were treated with ventriculo peritoneal shunt and early skull defect repair， and the prognosis， adverse reaction， length of stay， neurologic impairment score before and after treatment and GCS score of the two groups were analyzed and compared. Results The prognosis good rate in the observation group was higher than that in the control group（40.00% vs 23.94%）， the disability rate was less than that in the control group，（35.71% vs 54.93%）， and the differences had statistical significance，（P 　　[Key words] Early skull defec