标准外伤大骨瓣开颅手术治疗颅脑损伤合并恶性颅内高压疗效研究.docVIP

标准外伤大骨瓣开颅手术治疗颅脑损伤合并恶性颅内高压疗效研究 　　[摘要] 目的 ?^察颅脑损伤合并恶性颅内高压的患者，使用标准外伤大骨瓣开颅手术治疗的临床效果。 方法 选取我院颅脑损伤合并恶性颅内高压患者50例（2014年3月3日～2017年3月3日期间），将其依据随机数字表法分两组，各25例。一组给予传统开颅手术（对照组），另一组使用标准外伤大骨瓣开颅手术治疗（观察组），对比两组颅内压力情况，运动/语言情况。 结果 术前两组对比颅内压力情况无统计学意义（P0.05）。术后观察组颅脑损伤合并恶性颅内高压患者的颅内压力情况优于对照组，且术后一周观察组数据为（14.93±3.83）mm Hg，两组数据对比性较高（P0.05）。观察组颅脑损伤合并恶性颅内高压患者的运动Ⅰ～Ⅲ级数据96.00%，语言能力障碍Ⅰ～Ⅱ级数据92.00%，优于对照组（P0.05）。 结论 对颅脑损伤合并恶性颅内高压的患者采用标准外伤大骨瓣开颅手术的方案治疗后，能够有效降低患者的颅内压力，并改善患者的运动能力和语言能力。 　　[关键词] 传统开颅手术；标准外伤大骨瓣开颅手术；颅脑损伤合并恶性颅内高压 　　[中图分类号] R651.15 [文献标识码] A [文章编号] 2095-0616（2017）11-221-03 　　Research on standard large trauma craniectomy in treatment of craniocerebral injury combined with malignant intracranial hypertension 　　LIN Ruijie CHEN Weijian GUO Gusheng 　　Department of Neurosurgery，Shantou Chaoyang District Peoples Hospital，Shantou 515100，China 　　[Abstract] Objective To observe the clinical effect of standard large trauma craniectomy in treatment of patients with craniocerebral injury combined with malignant intracranial hypertension. Methods 50 patients with craniocerebral injury combined with malignant intracranial hypertension in our hospital from March 3rd，2014 to March 3rd，2017 were selected.They were divided into two groups according to random number table，with 25 in each.One group was given traditional craniotomy （the control group） while the other group was given standard large trauma craniectomy （the observation group）.Intracranial pressure，exercise and speech of patients in two groups were compared. Results There was no difference in intracranial pressure before surgery in two groups，P0.05.After operation，intracranial pressure of patients with craniocerebral injury combined with malignant intracranial hypertension in the observation group was better than that of the control group.And data of one week after surgery in the observation group was （14.93±3.83）mm Hg.There was a significant comparison of data in two groups （P0.05）.Data of Ⅰ-Ⅲ exercising and Ⅰ-Ⅱ language barrier of patients wit