标准外伤大骨瓣开颅术治疗重型颅脑损伤患者的疗效(1)
[摘要] 目的 分析重型颅脑损伤患者采用标准外伤大骨瓣开颅术治疗的效果。方法 该次研究方便选取2014年1月—2018年12月期间该院收治的71例重型颅脑损伤患者，根据奇偶数法将其分为观察组(n=36)與对照组(n=35)，对照组均采取常规骨瓣开颅手术救治，观察组均采取标准外伤大骨瓣开颅术救治，对比两组患者治疗总疗效、统计并分析患者术后24 h、96 h、168 h颅内压差异性，计算各组并发症发生率。 结果 观察组治疗总疗效明显优于对照组(χ2=5.459 7，P<0.05)，术后不同时间患者颅内压均较对照组低(t=100.324 2、101.449 2、119.600 8，P<0.05)，观察组患者出现并发症发生率8.33%较对照组31.43%更低(χ2=5.979 6，P<0.05)。 结论 重型颅脑损伤患者接受标准外伤大骨瓣开颅术救治效果更佳，并发症少，安全性更好，值得推广。
[关键词] 标准外伤;大骨瓣开颅术;重型;颅脑损伤;疗效
[中图分类号] R651 [文献标识码] A [文章编号] 1674-0742(2019)06(b)-0073-03
[Abstract] Objective To analyze the effect of standard traumatic large craniotomy for patients with severe craniocerebral injury. Methods The conveniently selected subjects in this study were 71 patients with severe head injury who were admitted to our hospital from January 2014 to February 2018. They were divided into observation group(n=36) and control group(n=35) according to the odd-even method. The control group adopted resection of the craniotomy， the observation group were treated with standard traumatic large craniotomy. The total curative effect was compared between the two groups. The differences of intracranial pressure at 24 h， 96 h and 168 h after operation were analyzed. The complications of each group were calculated. Results The total therapeutic effect of the observation group was significantly better than that of the control group (χ2=5.4597， P<0.05). The intracranial pressure of the patients at different time points was lower than that of the control group (t=100.3242， 101.449 2， 119.600 8， P<0.05). The incidence of complication in patients was 8.33% lower than that in the control group (χ2=5.979 6， P<0.05). Conclusion Patients with severe craniocerebral injury undergoing standard traumatic craniotomy are better， with less complications， higher safety. It is worth promoting.
[Key words] Standard trauma; Large bone craniotomy; Severe; Craniocerebral injury; Efficacy
颅脑损伤属于临床神经外科较为常见的一种外伤疾病，多因交通意外、施工意外、人为因素等所致，轻者患者可能出现恶心呕吐、头晕头痛、意识功能障碍等情况，重者患者会出现代谢功能紊乱问题，甚至发生脑死亡，危及生命安全[1]。传统治疗重度颅脑损伤患者多采取常规骨瓣开颅术救治，效果一般，且术中无法彻底暴露病灶，颅内压相对较高，术后患者易出现多种并发症，影响治疗质量及患者身心康复[2]。因而，寻求一种安全、高效的疗法至关重要。该文以2014年1月—2018年12月期间该院收治的71例重度颅脑损伤患者为研究对象分析标准外伤大骨瓣开颅术的临床应用价值，报道如下。
1 资料与方法
1.1 一般资料
该次研究方便选取该院收治的71例重型颅脑损伤患者，根据奇偶数法将其分为观察组与对照组，对照组总计患者35例，其中男性25例，女性10例，患者年龄最小22岁，最大73岁，平均年龄(38.5±2.2)岁，其中因交通意外致伤17例，因施工意外致伤14例，因人为因素致伤4例。观察组总计患者36例，其中男性26例，女性10例，患者年龄最小21岁，最大74岁，平均年龄(38.7±2.1)岁，其中因交通意外致伤18例，因施工意外致伤13例，因人为因素致伤5例。以专业统计学软件对两组患者基本资料数据进行分析，结果差异无统计学意义(P>0.05)，可进行比较。该次研究经伦理委员会许可。, 百拇医药(谢静义 赵宏祥 赵青军 朱小平 陶承)
[关键词] 标准外伤;大骨瓣开颅术;重型;颅脑损伤;疗效
[中图分类号] R651 [文献标识码] A [文章编号] 1674-0742(2019)06(b)-0073-03
[Abstract] Objective To analyze the effect of standard traumatic large craniotomy for patients with severe craniocerebral injury. Methods The conveniently selected subjects in this study were 71 patients with severe head injury who were admitted to our hospital from January 2014 to February 2018. They were divided into observation group(n=36) and control group(n=35) according to the odd-even method. The control group adopted resection of the craniotomy， the observation group were treated with standard traumatic large craniotomy. The total curative effect was compared between the two groups. The differences of intracranial pressure at 24 h， 96 h and 168 h after operation were analyzed. The complications of each group were calculated. Results The total therapeutic effect of the observation group was significantly better than that of the control group (χ2=5.4597， P<0.05). The intracranial pressure of the patients at different time points was lower than that of the control group (t=100.3242， 101.449 2， 119.600 8， P<0.05). The incidence of complication in patients was 8.33% lower than that in the control group (χ2=5.979 6， P<0.05). Conclusion Patients with severe craniocerebral injury undergoing standard traumatic craniotomy are better， with less complications， higher safety. It is worth promoting.
[Key words] Standard trauma; Large bone craniotomy; Severe; Craniocerebral injury; Efficacy
颅脑损伤属于临床神经外科较为常见的一种外伤疾病，多因交通意外、施工意外、人为因素等所致，轻者患者可能出现恶心呕吐、头晕头痛、意识功能障碍等情况，重者患者会出现代谢功能紊乱问题，甚至发生脑死亡，危及生命安全[1]。传统治疗重度颅脑损伤患者多采取常规骨瓣开颅术救治，效果一般，且术中无法彻底暴露病灶，颅内压相对较高，术后患者易出现多种并发症，影响治疗质量及患者身心康复[2]。因而，寻求一种安全、高效的疗法至关重要。该文以2014年1月—2018年12月期间该院收治的71例重度颅脑损伤患者为研究对象分析标准外伤大骨瓣开颅术的临床应用价值，报道如下。
1 资料与方法
1.1 一般资料
该次研究方便选取该院收治的71例重型颅脑损伤患者，根据奇偶数法将其分为观察组与对照组，对照组总计患者35例，其中男性25例，女性10例，患者年龄最小22岁，最大73岁，平均年龄(38.5±2.2)岁，其中因交通意外致伤17例，因施工意外致伤14例，因人为因素致伤4例。观察组总计患者36例，其中男性26例，女性10例，患者年龄最小21岁，最大74岁，平均年龄(38.7±2.1)岁，其中因交通意外致伤18例，因施工意外致伤13例，因人为因素致伤5例。以专业统计学软件对两组患者基本资料数据进行分析，结果差异无统计学意义(P>0.05)，可进行比较。该次研究经伦理委员会许可。, 百拇医药(谢静义 赵宏祥 赵青军 朱小平 陶承)