重型颅脑外伤术后脑梗死发生预防性治疗分析.docVIP

重型颅脑外伤术后脑梗死发生预防性治疗分析 　　[摘要] 目的 探究预防重型颅脑损伤患者手术后脑梗死的治疗方法。方法 方便选取2011年1月―2017年4月进入该院采用去骨瓣减压术治疗的重型颅脑损伤患者共102例患者，对患者术后收缩压进行测量，根据收缩压（SBP）的差异分为3组，A组患者的收缩压小于15 mmHg，B组患者的收缩压在151～180 mmHg之间，C组患者收缩压大于180 mmHg，3组患者手术后均给予血管扩张治疗以及缩水治疗，比较3组患者的治疗效果。结果 A组与C组脑梗死的发生率分别为52.9%与50.0%显著的高于B组17.6%，差异有统计学意义（P0.05）；B组GCS评分与A、C两组相比差异有统计学意义（P0.05）。结论 在治疗重型颅脑损伤患者时要控制患者的收缩压在150～180 mmHg之间，能够有效控制患者术后脑梗死的发生，对于提高患者治疗效果具有重要意义。 　　[关键词] 重型颅脑损伤；脑梗死；预防性治疗 　　[中图分类号] R587 [文献标识码] A [文章编号] 1674-0742（2017）09（c）-0125-03 　　Analysis of Preventive Treatment of Occurrence of Cerebral Infraction after the Severe Craniocerebral Trauma Surgery 　　ZHANG Song 　　Department of Neurosurgery， Donghai People’s Hospital， Lianyungang， Jiangsu Province， 222300 China 　　[Abstract] Objective To study the treatment method of cerebral infraction after the severe craniocerebral trauma surgery. Methods 102 cases of patients with severe craniocerebral trauma after the decompressive craniectomy in our hospital from January 2011 to April 2017 were convenient selected and the postoperative systolic pressure was measured and the patients were divided into three groups according to different SBP， including the group A whose systolic pressure 180 mmHg， and the three groups were treated with hemangiectasis and shrink after operation， and the treatment effect was compared between the three groups. Results The incidence rate of cerebral infraction in the group A and in the group C was obviously higher than that in the group B， （52.9%， 50.0% vs 17.6%）， and the difference was statistically significant（P0.05）； the difference in the GCS score among the three groups was statistically significant（P0.05）. Conclusion We should control the systolic pressure between 150～180 mm Hg in treatment of patients with severe craniocerebral trauma， which is of important significance to improving the treatment effect of patients. 　　[Key words] Severe craniocerebral trauma； Cerebral infraction； Preventive treatment 　　?S着时代的不断发展，科技水平的飞速提高，人们生活领域的多元化导致外力