颅骨缺损修补术时机对神经功能康复的影响

Influence of neurological rehabilitation upon skull defect repair timing

目的探讨颅骨缺损修补术时机的选择对患者神经功能康复的影响。方法选择2009年3月至2011年1月在我院接受颅骨修补术的120例患者临床资料,按颅骨缺损修补时间分为早、中和晚期修补组,每组40例,比较3组患者颅骨修补手术前后神经功能的恢复及生活质量改善情况。结果①早、中、晚期颅骨修补组患者术后生活质量呈下降趋势,早期与中期组患者Barthel指数评分显著高于晚期组,早期组患者Barthel指数评分显著高于中期组,差异均具有统计学意义(P<0.05)。②早期与中期组患者美国国立卫生研究院脑卒中量表》(NIHSS)和《中国卒中患者神经功能缺损评分标准》(CSS)评分均显著低于晚期组,且早期组患者NIHSS和CSS评分显著低于中期组,差异均具有统计学意义(P<0.05)。结论早期行颅骨修补术可更好地改善患者神经功能,提高患者生活质量。

Objective To explore the influence of neurological rehabilitation upon skull defect repair timing.Methods One hundred and twenty patients who received cranioplasty in our hospital from March 2009 to January 2011 were divided into early repair group,mid-repair group and late repair group according to the skull defect repair time,40 patients in each group.The neurological function and quality of life recovery before and after surgery were compared.Results Quality of life showed a tendency of declining in early,middle,late cranioplasty group,Barthel index score of early group and the interim group were significantly higher than the late group,Barthel index score of the early group was significantly higher than the mid-early group patients,the differences being statistically significant （P＜0.05）.NIHSS and CSS scores of early and mid-group patients were significantly lower than those in the late group,and the NIHSS and CSS scores of early group patients were significantly lower than the mid-group,the differences being statistically significant （P ＜ 0.05）.Conclusion Early cranioplasty can better improve neurological function and the life quality of patients.