不同手术时机治疗重型颅脑损伤的疗效观察

Clinical observation of different surgery opportunity in the treatment of severe traumatic brain injury

目的探讨不同手术时机治疗重型颅脑损伤的临床疗效。方法按照不同的手术时间将50例重型颅脑损伤患者随机分为观察组和对照组各25例。2组手术方式及常规治疗相同,观察组手术前时间为发病至手术<6h,对照组>6h。观察2组临床疗效及并发症情况。结果观察组有效率为72.0%高于对照组的52.0%,观察组术后各种并发症发生率均低于对照组,差异均有统计学意义(P<0.05)。结论严格掌握手术适应证、早期手术治疗可有效提高重型颅脑损伤患者的治愈率,降低致死、致残率及并发症的发生率,促进患者预后,值得临床推广应用。

Objective To investigate the clinical efficacy of the different timing of surgery in the treatment of severe traumatic brain injury. Methods 50 cases of severe traumatic brain injury were divided into observation group and control group according to different operation time, each of 25 cases. The preoperative time of observation group for the onset of illness to surgery was within 6h, control group was more than 6h. Observed the clinical efficacy and complications of two groups. Re~ suits The effective rate of observation group （72.0%） was higher than control group （52.0%）, the postoperative complica- tions incidence was lower than control group, there were significant differences （ P 〈 0.05 ）. Conclusion The strict grasping surgery indication, the early surgery treatments may enhance the cure rate effectively, reduces lethal, cripples rate and the com- plication occurrence, promotes the patient prognosis ,is worth the clinical promoted application.