改良人工硬脑膜成形术的临床观察及护理

Clinical Observation and Nursing Intervention of Improved Artificial Dura Mater Plasty

目的:观察改良人工硬脑膜成形术在脑外伤减压术中硬脑膜缺损的修复效果。方法:对88例脑外伤减压术硬脑膜缺损患者分别采用改良人工硬脑膜修补术(A组,46例)和传统颞肌-硬脑膜缝合术(B组,42例)治疗。A组给予有效的护理干预,B组给予常规护理,观察硬脑膜修复效果及并发症发生情况。结果:两组均能达到满意修复脑膜缺损的目的。两组术后脑脊液漏、皮下积液、伤口感染等发生近似(P>0.05),A组手术用时较短(P<0.05),术后癫痫发生率明显低于B组(P<0.05)。结论:采用改良人工硬脑膜成形术修复脑外伤减压术中硬脑膜缺损,结合相应护理干预后效果好,并发症少且安全。

Objective： To observe the effect of the improved artificial dura mater plasty on the dura materdefect by decompression in traumatic brain injury.Methods： 88 cases of dura mater defect in traumatic brain injury by decompression were divided into Group A（46 cases） treated with the improved artificial dura mater plasty and Group B（42 cases） treated with traditional temporalis muscle-dural suture.The patients in Group A was given an effective nursing intervention and those in Group B only received routine care to observe the effect of dural mater repair,and the occurrence of complications.Results： Satisfactory dural mater repair effects were achieved in both groups.There was no significant difference in postoperative occurrence rate of cerebrospinal fluid leak,seroma and wound infection between the two groups（P 0.05）.Compared with that in Group B,surgery time is shorter in Group A（P0.05）.Postoperative occurrence rate of seizures in Group A was significantly lower than that in Group B（P0.05）.Conclusion： Combined with appropriate nursing intervention,the repair effect of modified artificial cerebral dural plasty repair on dural defects by decompression in traumatic brain injury is satifactory,with safety and fewer complications.