标准去骨瓣减压手术治疗重型颅脑损伤疗效观察

摘要

Objective:To evaluate the clinical efficacy of severe brain injury with standard decompressive craniectomy surgery.Method:From June 2010 to May 2013 in our hospital 100 cases with severe brain injury were randomly divided into the observation group(n=50) and the control group(n=50),the observation group treated with standard decompressive craniectomy surgery,the control group treated with conventional decompressive craniectomy surgery,observing and comparing the clinical efficacy in patients with GCS scores before and after treatment and changes in intracranial pressure values.Result:The total effective rate of the observation group was 92%,the control group was 80%,comparing the two groups were statistically significant differences in clinical efficacy(P<0.05). GCS score was observed after treatment the observation group was significantly higher compared with the the control group,the difference was statistically significant(P<0.05).The observation group in the first postoperative day and 3 days after intracranial pressure was significantly lower than the control group,the difference was statistically significant(P<0.05).Conclusion:The treatment of severe traumatic brain injury with standard decompressive craniectomy surgery has a good clinical efficacy,recover faster,deserve to be promoted in clinical bone decompression surgery.%目的：评价标准去骨瓣减压手术治疗重型颅脑损伤的临床疗效及安全性。方法：选取2010年6月-2013年5月笔者所在医院收治的重型颅脑损伤患者100例，随机分为观察组和对照组，其中观察组50例采用标准去骨瓣减压手术治疗，对照组50例采用常规去骨瓣减压手术治疗，观察并比较两组患者临床疗效、治疗前后GCS评分变化情况及治疗后颅内压测量值。结果：观察组总有效率为92%，对照组总有效率为80%，两组患者临床疗效比较差异有统计学意义(P<0.05)；两组患者治疗后相比同组治疗前评分均有明显升高，但观察组升高程度更为明显，两组比较差异有统计学意义(P<0.05)；观察组在术后第1、3天颅内压明显低于对照组，差异有统计学意义(P<0.05)。结论：采用标准去骨瓣减压手术治疗重型颅脑损伤临床疗效好，患者恢复快，值得在临床上予以推广。