分析标准大骨瓣开颅手术对重型颅脑损伤患者脑血管痉挛的影响

Analysis of the Effect of Standard Large Craniotomy on Cerebral Vasospasm in Patients with Severe Head Injury

目的探析重型颅脑损伤患者接受标准大骨瓣开颅手术治疗对脑血管痉挛的影响。方法取本院神经外科收治重型颅脑损伤患者76例相关资料进行分析,治疗时间在2017年3月至2018年3月,根据患者治疗手段差异将其每组38例分为常规组与观察组,常规组接受传统骨瓣开颅手术,观察组接受标准骨瓣开颅手术。比较两组患者相关临床数据以归纳标准大骨瓣开颅术对重型颅脑损伤患者血管痉挛影响。结果术后7d两组患者颅内压相对于术前均有所改善,观察组患者改善程度有显著优越性(P<0.05);观察组术后手术相关并发症发生率低于常规组且有统计学意义(P<0.05);术后7d内观察组患者出现脑血管痉挛例数低于常规组且有统计学意义(P<0.05)。结论对重型颅脑损伤患者用标准大骨瓣开颅术相对于传统减压手术对患者有更加突出的减压效果,且安全性及术后血管痉挛发生率令人满意,值得推广。

Objective To analyze the effect of standard large bone craniotomy on cerebral vasospasm in patients with severe craniocerebral injury.Methods Seventy-six cases of patients with severe craniocerebral injury treated by neurosurgery in our hospital were analyzed.The treatment time was between March 2017and March 2018. According to the difference of treatment methods,38 patients in each group were divided into regular group and In the observation group,the conventional group received traditional craniotomy,and the observation group received standard craniotomy.The clinical data of the two groups were compared to summarize the effect of standard large craniotomy on vasospasm in patients with severe head injury.Results The intracranial pressure of the two groups improved after surgery on the 7d after surgery.The improvement degree of the observation group was significantly superior (P<0.05).The incidence of postoperative surgery-related complications was lower in the observation group than in the conventional group.There was statistical significance (P<0.05).The number of cerebral vasospasm cases in observation group was lower than that in routine group within 7d after operation (P<0.05).Conclusion The standard large craniotomy for patients with severe craniocerebral injury has a more prominent decompression effect than the traditional decompression surgery,and the safety and postoperative vasospasm rate are satisfactory,which is worthy of promotion.