标准大骨瓣减压治疗重型颅脑损伤临床效果分析.docVIP

标准大骨瓣减压治疗重型颅脑损伤临床效果分析 　　[摘要]目的 探讨和分析标准大骨瓣减压治疗重型颅脑损伤的临床效果。方法 选取2015年11月～2016年11月在我院就诊并确诊为重型颅脑损伤患者60例作为研究对象，按不同手术治疗方式分为观察组和对照组，每组各30例。对照组采用传统的开颅手术治疗，观察组采用标准大骨瓣减压治疗。比较两组患者在术后第3、5、7天不同时段的颅内压、格拉斯哥昏迷评分（GCS）和恢复情况。结果 对照组术后第3、5、7天的颅内压均高于观察组（P0.05）；对照组GCS评分低于观察组（P0.05）；观察组患者恢复情况优于对照组，差异有统计学意义（Z=-3.113，P0.05）。结论 标准大骨瓣减压在治疗重型颅脑损伤方面的效果更好，能明显降低患者的颅内压，促进患者的意识恢复，提高患者的生活水平。 　　[关键词]标准大骨瓣减压；重型颅脑损伤；临床效果 　　[中图分类号] R651.1 [文献标识码] A [文章编号] 1674-4721（2017）11（a）-0036-03 　　Clinical effect of standard large bone flap decompression in treatment of severe craniocerebral injury 　　YI Shuang-hong1 ZHANG Bei1 ZENG Wen-yu2 　　1.Department of Neursursery，the Second People′s Hospital of Yichun City，Jiangxi Province，Yichun 336000，China；2.Department of Nutrition，the Second People′s Hospital of Yichun，Jiangxi Province，Yichun 336000，China 　　[Abstract]Objective To investigate and analyze the clinical effect of standard large bone flap decompression in the treatment of severe craniocerebral injury.Methods From November 2015 to November 2016，60 patients with severe craniocerebral injury treated in our hospital were selected，and they were divided into observation group and control group according to different surgical treatment methods，30 cases in each group.The control group was treated with traditional craniotomy，the observation group was treated with standard large bone flap decompression.The intracranial pressure，GCS score and recovery of the two groups were compared at the third，fifth，seventh days after operation.Results The intracranial pressure of the control group was higher than that of the observation group in the third，fifth，seventh days postoperation （P0.05），while the score of GCS in the control group was lower than that in the observation group（P0.05）.The recovery condition in the observation group was better than that in the control group（Z=-3.113，P0.05）.Conclusion Standard large bone flap decompression is more effective in the treatment of severe traumatic brain injury，can significantly