摘要
目的 观察标准大骨瓣减压术对重型颅脑损伤患者神经功能及颅内压的影响.方法 选取2014年6月至2017年4月医院收治的重型颅脑损伤患者82例,按随机数字表法分为对照组与观察组,每组41例.对照组接受常规骨瓣开颅术治疗,观察组接受标准大骨瓣减压术治疗.比较两组神经功能、颅内压、并发症及预后情况.结果 术后两组NIHSS评分、颅内压水平均下降,且与对照组比较,观察组NIHSS评分[（21.27 ±3.15）分]、颅内压水平[（16.64 ±2.76）mmHg（1 mmHg＝0.133 kPa）]较低,差异有统计学意义（P＜0.05）;观察组并发症总发生率（7.32%）低于对照组（24.39%）,差异有统计学意义（P＜0.05）;观察组预后效果优于对照组,差异有统计学意义（P＜0.05）.结论 标准大骨瓣减压术治疗重型颅脑损伤较常规骨瓣开颅术更利于改善患者神经功能、减低颅内压,且术后并发症少、预后效果佳,可作为重型颅脑损伤的有效治疗手段.
Objective To observe the effect of standard large trauma craniotomy on neurological function and intracranial pressure in patients with severe traumatic brain injury （ STBI ）. Methods Eighty-two STBI patients treated in hospital from June 2014 to April 2017 were selected, and they were divided into control group and observation group by random number table , with 41 cases in each group.The patients in control group were given routine craniotomy with bone flap , while the pa-tients in observation group were treated with standard large trauma craniotomy.The neurological function , intracranial pressure, complications and prognosis were compared between the two groups. Results After surgery, the NIHSS score and intracranial pressure in the two groups decreased , the NIHSS score and intracranial pressure in observation group [（21.27 ±3.15） points, （16.64 ±2.76） mmHg （1 mmHg=0.133 kPa）] were lower those of than control group （P〈0.05）; the total incidence of complications in observation group was 7.32%, which was lower than that （24.39%） in the control group （P〈0.05）; the prognosis of observation group was better than that of control group （P〈0.05）. Conclusions Compared with routine craniotomy with bone flap, standard large trauma craniotomy for STBI patients can improve neurological function better , decrease intracranial pressure , and have less postoperative complications and better prognostic effects , which can be used as effective treatment for STBI.
作者
单国防
Shan Guofang(Department of Neurosurgery,Yima Coal Industry Group Co.,LTD General Hospital,Yima 472300,China)
出处
《中国实用医刊》
2018年第14期56-58,共3页
Chinese Journal of Practical Medicine
关键词
重型颅脑损伤
标准大骨瓣减压术
神经功能
颅内压
Severe traumatic brain injury
Standard large trauma craniotomy
Neurological function
Intracranial pressure
