摘要
目的:对常规去骨瓣减压手术和标准去大骨瓣减压手术治疗重型颅脑损伤的临床疗效及安全性进行比较分析.方法:随机选取我院2010-01/2013-01收治的重型颅脑损伤的患者80例,将所选患者分为实验组和对照组,每组40例.实验组采用标准去大骨瓣减压手术治疗,对照组采用常规的去骨瓣减压手术治疗.结果:实验组患者的治疗有效率高于对照组(P<0.05);治疗后两组患者GCS评分实验组上升更为明显(P<0.05);实验组患者颅内压比对照组患者降低更为明显(P<0.05);术后并发症发生情况,实验组均低于对照组(P<0.05);两组存活患者ADL分级结果存在明显差异(P<0.05).结论:标准去骨瓣减压手术治疗重型颅脑损伤临床疗效较好,术后恢复快,相对安全.
AIM：To analyze and compare the clinical effects and security in treating severe craniocerebral injury by traditional decompressive craniectomy and standard decompressive craniecto-my.METHODS：Eighty patients with severe craniocerebral inju-ry admitted to our hospital from January 2010 to January 2013 were randomly selected and divided into experimental group and control group,and each group contained 40 cases.The experi-mental group received standard decompressive craniectomy,while the control group received traditional decompressive craniectomy. RESULTS：The effective rate of experimental group was higher （P 〈0.05）;and patients in experimental group got higher GCS scores after treatment （P 〈0.05）.Besides,experimental group cases had lower intracranial pressure and fewer postoperative com-plications than control group cases （P 〈0.05 ）,and the differ-ence of grading results of ADL in two groups was significant （P 〈0.05 ）.CONCLUSION：Treating severe craniocerebral injury with standard decompressive craniectomy is safe and effective.
出处
《转化医学电子杂志》
2015年第1期121-122,124,共3页
E-Journal of Translational Medicine
关键词
重型颅脑损伤
去骨瓣减压手术
疗效
severe craniocerebral injury
decompressive crani-ectomy
clinical effects
