重型颅脑损伤合并四肢长骨骨折外科手术时机研究与分析.docVIP

重型颅脑损伤合并四肢长骨骨折外科手术时机研究与分析 　　【摘要】 目的：分析讨论重型颅脑损伤合并四肢长骨骨折患者的最佳手术时机以及临床效果。方法：随机选取本院2014年2月-2015年2月收治的120例重型颅脑损伤合并四肢长骨骨折患者作为观察对象，按照骨折手术时机的不同分为急诊组、伤后7～10 d组及伤后14～42 d组，每组40例。比较三组术后肢体功能恢复情况。结果：急诊组与伤后7～10 d组肢体功能恢复情况比较差异无统计学意义（P0.05）；而急诊组、伤后7～10 d组肢体功能恢复情况均优于伤后14～42 d组，比较差异有统计学意义（P0.05）。结论：重型颅脑损伤合并四肢长骨骨折患者的最佳手术时机应该按照创伤的实际情况进行选择，若患者生命体征恢复稳定，则应该尽早选择手术对四肢长骨骨折进行治疗，有助于患者早期功能锻炼，从而使患者尽早得到恢复。 　　【关键词】 重型颅脑损伤； 四肢长骨骨折； 外科手术时机 　　【Abstract】 Objective：To analyze and discuss the best surgery time and its clinical effect of long bone fracture in severe craniocerebral injury patients.Method：120 patients with severe craniocerebral injury and long bone fracture in our hospital from February 2014 to February 2015 were selected and randomly divided into emergency group，group of 7 to 10 days after injury and group of 14 to 42 days after injury according to their different surgery time.The recovery situation of limb function was compared among the three groups.Result：There was no difference between the emergency group and group of 7 to 10 days after injury in the recovery situation of limb function（P0.05）.The recovery situation of limb function in the emergency group and group of 7 to 10 days after surgery was better than that in group of 14 to 42 days after injury，the difference was statistically significant（P0.05）.Conclusion：The best operation time of severe craniocerebral injury combined with long bone fracture should be chosen according to the actual situation of trauma. If the patients vital signs are stable， choosing surgery for the long bone fracture as soon as possible is good for the early functional exercise and recovery. 　　【Key words】 Severe craniocerebral injury； Long bone fracture； Surgical operation time 　　First-author’s address：Traditional Chinese Medicine Hospital of Xinyang City，Xinyang 464000，China 　　doi：10.3969/j.issn.1674-4985.2015.21.057 　　随着现代建筑业及交通运输业的迅速发展，颅脑损伤合并四肢长骨骨折的发生率也随之不断提高，此类损伤多由暴力原因所致，伤情复杂且多合并其他脏器的损伤，如何准确判断病情并及早进行正确处理对患者预后至关重要。选择合适的时机对骨折进行治疗有利于肢体功能的恢复，促进患者早日康