观察开颅手术治疗脑外伤硬脑膜外血肿的效果

Observation on the effect of craniotomy in the treatment of brain traumatic epidural hematoma

目的探讨脑外伤硬脑膜外血肿行开颅血肿清除术后的效果。方法将本院2015年1月～2017年12月46例进行开颅术治疗的脑外伤硬脑膜外血肿患者分为观察对象,对比患者在进行开颅血肿清除术前后在生命体征(呼吸、体温、心率、脉搏、血压、颅内压等)各方面的变化,从而观察脑外伤硬脑膜外血肿患者进行开颅手术治疗的效果。结果通过对比观察,进行手术治疗的46例脑外伤硬脑膜外血肿患者的呼吸频率、心率、脉搏、血压以及颅内压指数均恢复到正常值范围内,治疗前后各项指数变化显著,差异具有统计学意义(P <0.05)。结论开颅血肿清除术对脑外伤硬脑膜外血肿的患者效果显著,进行开颅手术治疗的患者各项生命体征指数均恢复正常,开颅手术提高了颅脑损伤患者的生命质量。

Objective To explore the effect of craniotomy evacuation of hematoma in treatment of brain traumatic epidural hematoma.Methods 46 patientswithbrain traumatic epidural hematomawho underwentcraniotomyin our hospital from January 2015 to December 2017were selected as research objects.Changes in vital signs(breathing,body temperature,heart rate,pulse,blood pressure,intracranial pressure,etc.)before and after craniotomy evacuation of hematomawere compared so as to observe the effect of craniotomy in treatment of patients with brain traumatic epidural hematoma.Results By comparison and observation,the respiratory rate,heart rate,pulse rate,blood pressure and intracranial pressure index of 46 patients with brain traumatic epidural hematoma treated with surgery were restored to normal values.Indexes changed significantly before and after treatmentand the difference was statistically significant(P<0.05).Conclusion Craniotomy evacuation of hematoma in treatment of patients with brain traumatic epidural hematomahas a significant effect.The vital signs of patients undergoing craniotomy restore to the normal and craniotomy improved the quality of life of patients with brain injury.