目的探讨阶梯式颅内减压技术治疗急性重度颅脑损伤的临床疗效分析。方法选取2009年3月-2012年3月96例重度颅脑损伤患者，随机平均分为对照组和治疗组，对照组采用传统减压术进行治疗，治疗组采用阶梯式颅内减压术治疗，对比分析两组疗效。结果治疗组在手术时间、术中出血量、手术并发症指标上明显优于对照组（P＜0.05），差异有统计学意义；治疗组在急性脑膨出、迟发性血肿以及术后脑梗死的发生率均比对照组明显降低(P<0．05)，差异具有统计学意义；治疗组在预后良好率及病死率上明显优于对照组（P＜0.05），差异有统计学意义。结论阶梯式减压技术可以有效减少患者（术中脑膨出）术后并发症，改善患者预后，治疗重度颅脑损伤疗效确切，值得临床推广应用。%Objective To investigate clinical analysis of the ladder type intracranial decompression in treatment of acute severe craniocerebral injury. Methods To select from March 2009 to March 2012, 96 cases of severe craniocerebral injury patients, were randomly divided into control group and treatment group, the control group used the traditional decompression for treatment, treatment group adopts the step type intracranial decompression therapy, comparative analysis of two groups of efficacy. Results The treatment group in the operation time, bleeding volume in operation, operation complications index was obviously superior to the control group (P<0.05 ), the difference was statistically signiifcant, group therapy in acute encephalocele, delayed hematoma and postoperative cerebral infarction rates were significantly lower than those of control (P<0.05), the difference was statistically signiifcant, the treatment group in good prognosis and death rate was obviously superior to the control group (P<0.05), the difference was statistically signiifcant. Conclusion Staged decompression technique can effectively reduce patients (intraoperative encephalocele) postoperative complications, improve the prognosis of patients with severe craniocerebral injury, treatment curative effect, worthy of clinical application application.
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