去大骨瓣减压治疗大面积脑梗死的临床分析

摘要

Objective:To explore the clinical effect of decompressive craniectomy for large area cerebral infarction.Methods:50 patients with massive cerebral infarction admitted in our hospital from April,2013 to April 2016 were selected as the main study objects.The patients were divided into early operation group (operation within 24 hours after onset,n =25) and delayed surgery group (postoperative 24 h after surgery,n =25).Two groups of patients underwent decompressive treatment of large bone flap,followed up for 5 months,the two groups of patients with clinical treatment and postoperative follow-up comparative analysis.Results:The effect of the early operation group was better than that of the delayed operation group,The average hospital stay and average ICU time in the early operation group were significantly lower than those in the delayed operation group,The quality of life of patients in the early surgery group was significantly higher than that in the delayed operation group,The difference was significant (P ＜ 0.05).Conclusion:Decompression of largebone flap in the treatment of large area of cerebral infarction was significantly effective,reducing hospital stay and ICU time,improve the quality of life of patients.%目的:探析去大骨瓣减压治疗大面积脑梗死的临床效果.方法:选取2013年4月～ 2016年4月我院收治的50例大面积脑梗死患者为主要研究对象,以患者手术时间将其分为早期手术组(发病后24h内手术,n=25)和延迟手术组(发病后24h后手术,n=25).两组患者均接受去大骨瓣减压治疗,随访5个月,对两组患者的临床治疗效果及术后随访情况进行对比分析.结果:早期手术组患者的治疗效果显著优于延迟手术组,早期手术组平均住院时间、平均ICU时间均显著低于延迟手术组,早期手术组患者的生活质量均显著高于延迟手术组,差异有显著性(P＜0.05).结论:去大骨瓣减压治疗大面积脑梗死的效果显著,降低住院时间和ICU时间,提高患者的生活质量.