摘要
目的探究早期颅骨修补术治疗脑外伤的临床效果。方法筛选该院2016年3月—2019年2月收治的71例脑外伤患者,根据其采用颅骨修补术的时间不同分为观察组(36例,在颅脑损伤的2个月内实施早期颅骨修补术)和对照组(35例,在颅脑损伤脑室腹腔分流术后的3~6个月实施晚期颅骨修补术),比较两组患者的临床疗效、术前术后的NIHSS评分和MMSE评分、Fugl-Meyer评分、WHOQOL-BREF评分。结果治疗后,观察组恢复良好35例,中度残疾1例,无重度残疾,总有效率为97.22%,与对照组相比差异有统计学意义(χ^(2)=9.010,P=0.003);术前,两组患者的各项评分比较,差异无统计学意义(P>0.05);术后,两组患者NIHSS和MMSE评分均较治疗前降低,且观察组更为明显,差异有统计学意义(P<0.05);术前,两组患者的各项评分比较,差异无统计学意义(P>0.05);术后,两组患者Fugl-Meyer和WHOQOL-BREF评分均较治疗前升高,且观察组更为明显,差异有统计学意义(P<0.05)。结论在脑外伤患者的临床治疗中,采取早期积极治疗的患者临床疗效显著更高,可有效保障患者的神经功能、认知功能和肢体运动功能得到改善,综合提高其预后功能水平和社会功能水平,促使其尽快痊愈,回归正常生活。
Objective To explore the clinical effect of early cranial bone repair in the treatment of traumatic brain injury.Methods Screened 71 patients with traumatic brain injury admitted to the hospital from March 2016 to February 2019.Depending on the time it took for the cranioplasty to be used,divided into observation group(36 cases,early cranioplasty within two months of craniocerebral injury)and control group(35 cases,advanced cranioplasty within 3 to 6 months after craniocerebral injury ventricular-abdominal shunt).The clinical efficacy,pre-and post-operative NIHSS score,MMSE score,Fugl-Meyer score,and WHOQOL-BREF score were compared between the two groups.Results After treatment,35 cases recovered well,1 case was moderately disabled,and there was no severe disability in the observation group.The total effective rate was 97.22%,compared with the control group,the difference was statistically significant(χ^(2)=9.010,P=0.003).Before the operation,there was no statistically significant difference in the scores of the two groups of patients(P>0.05);after the operation,the NIHSS and MMSE scores of the two groups of patients were lower than those before the treatment,and the observation group was even more significant.Obviously,the difference between the two groups of patients was statistically significant(P<0.05).Before the operation,there was no statistically significant difference in the scores of the two groups of patients(P>0.05);after the operation,the Fugl-Meyer and WHOQOL-BREF scores of the two groups of patients were higher than those before the treatment,and the two groups was more obvious,the difference was statistically significant(P<0.05).Conclusion During the clinical treatment of patients with brain injury,the clinical efficacy of early active treatment is significantly higher,which can effectively guarantee the improvement of the patients'neurological function,cognitive function and limb motor function,and comprehensively improve their prognostic function level and social function level,prompting to heal as soon as possible and return to normal life.
作者
孙凯
马伟
SUN Kai;MA Wei(Department of Neurosurgery,Central Hospital of Zibo Mining Group Co.,Ltd.Zibo,Shandong Province,255100 China)
出处
《系统医学》
2021年第18期113-115,141,共4页
Systems Medicine
