标准血肿清除加去骨瓣减压术治疗重型颅脑损伤效果分析.docVIP

标准血肿清除加去骨瓣减压术治疗重型颅脑损伤效果分析 　　[摘要]目的 分析标准血肿清除加去骨瓣减压术治疗重型颅脑损伤的效果。方法 选择2005年6月～2014年5月我院收治的重型颅脑损伤患者600例，采用随机数字表法将其分为实验组和对照组各300例，对照组采用常规骨瓣开颅术，实验组采用标准血肿清除加去骨瓣减压术，收集两组一般资料，观察研究对象在入院时以及入院后第1、2、3、4周的格拉斯哥昏迷评分（GCS），比较两组并发症的发生情况。结果 实验组患者在完成标准血肿清除加去骨瓣减压术后GCS呈现明显上升的趋势，入院时仅为（5.53±0.32）分，术后第1、2、3、4周分别为（12.88±0.56）、（12.93±0.87）、（13.09±0.75）、（14.03±0.45）分，与对照组比较，差异有统计学意义（P0.05）。实验组并发症发生率明显低于对照组，差异有统计学意义（P0.05）。结论 采用标准血肿清除加去骨瓣减压术进行重型颅脑损伤转折的治疗，能够在一定程度上改善患者预后，为后续的治疗提供良好的基础，降低患者致残、致死的可能，具有良好的临床推广以及应用价值。 　　[关键词]血肿清除；去骨瓣减压；开颅手术治疗；重型颅脑损伤；临床效果 　　[中图分类号]R651.15 [文献标识码]A [文章编号]1674-4721（2016）06（a）-0059-04 　　[Abstract]Objective To analyze the effect of standard hematoma removal decompressive craniectomy in treating severe craniocerebral injury.Methods 600 severe craniocerebral injury patients from June 2005 to May 2014 of our hospital were selected.Patients were divided into experimental group and control group according to random number table，and each group was 300 cases.Patients in control group were used routine temporoparietal craniectomy，and patients in experimental group were used standard hematoma removal decompressive craniectomy.General data in two groups was collected.The GCS score of 300 study objects at admission，1 week，2 weeks，3 weeks and 4 weeks after admission were observed.The complications in two groups were compared.Results After standard hematoma removal decompressive craniectomy，the GCS score in experimental group with obvious rising trend，and the value at admission，1 week after operation，2 weeks after operation，3 weeks after operation and 4 weeks after operation were respectively （5.53±0.32），（12.88±0.56），（12.93±0.87），（13.09±0.75），（14.03±0.45） scores，and the differences were statistical significance when compared with control group （P0.05）.The incidence rate of complications in experimental group was obvious lower than control group，and the difference was statistical significance （P0.05）.Conclusion Using standard hematoma removal decompressive craniectomy in treating s