去骨瓣减压术后早期颅骨修补术对患者预后的影响

The influence of skull prosthesis in the early stage of decompressive craniectomy postoperative to the prognosis of the patients

目的探讨去骨瓣减压术后早期颅骨修补术对患者预后的影响。方法将本院2008年5月～2010年5月40例去骨瓣减压术后患者随机分成常规组和早期组,常规组患者在去骨瓣减压术后3～6个月后行颅骨修补术;早期组患者在去骨瓣减压术后6～8周,在指标允许的情况下行颅骨修补术,比较两组患者颅骨修补手术前及手术后1年格拉斯哥昏迷评分(GCS)、简易智力状况检查(MMSE)、Barthel指数评分量表的情况。结果早期组的GCS、MMSE、Barthel指数评分改善情况明显高于常规组,差异有统计学意义(P<0.05)。结论颅脑损伤后去骨瓣减压术后早期行颅骨修补术可明显改善患者的精神状态和日常生活能力,有利于患者的康复。

Objective To discuss the influence of skull prosthesis in the early stage of decompressive craniectomy postoperative on the prognosis of the patients. Methods Forty cases of decompressive craniectomy postoperative patients in our hospital from May 2008 to May 2010 were selected, and randomly divided into normal group and early stage group; the patients in the normal group had the skull prosthesis at 3-6 months after decompressive craniectomy; patients in the early stage group had the skull prosthesis at 6-8 weeks after decompressive craniectomy in the condition of the index permission; compared the situation of GCS, MMSE, Barthel index rating scale of the two groups before and after a year of taking skull prosthesis. Results The situation of GCS, MMSE, Barthel index score of the early stage group were improved obviously, higher than the normal group, the differences were statistically significant （P 〈 0.05）. Conclusion After craniocerebral injury, skull prosthesis in the early stage of decompressive craniectomy postoperative can significantly improve the patients＇ mental state and activity of daily living, which are beneficial to the recovery of patients.