控制性减压术防治老年重型颅脑损伤并发脑梗死的可行性研究

Controlling Decompression Feasibility Study in Elderly Patients with Cerebral Infarction with Severe Brain Injury Prevention

目的:研究控制性减压术对防治老年重型颅脑损伤并发脑梗死的可行性。方法:收集老年重型颅脑损伤患者共60例,对照组30例患者采用标准大骨瓣减压术,观察组30例患者采用控制性减压术。术后统计两组患者的手术效果,患者有无脑水肿及其严重程度,患者有无脑梗死及其体积大小,术后48 h两组患者双侧大脑中动脉血流动力学及术后6个月的恢复情况。结果:观察组总有效率为96.67%,比对照组的76.67%高。观察组脑水肿发生率为16.67%,明显低于对照组的36.67%。脑梗死的发生率为6.67%,亦低于对照组的23.33%。结论:控制性减压术防治老年重型颅脑损伤是可行的。

Objective：To study the prevention and treatment of senile controlled decompression surgery for severe brain injury complicated by cerebral infarction feasibility.Method：Period in elderly patients with severe traumatic brain injury ,namely control group and observation group and control group of 30 patients were treated with standard large trauma reduction buckling surgery,observation group of 30 patients were treated with controlled decompression.Generally two groups of patients with postoperative statistical effect,whether patients with cerebral edema and its severity, whether patients with cerebral infarction and its dimensions,after 48 h after the two groups of patients with bilateral cerebral hemodynamics and arterial blood recovery after 6 months.Result：The total effective rate of the observation group was 96.67%,was higher than the control group’s 76.67%.The cerebral edema incidence of the observation group was 16.67%,was significantly lower than the control group’s 36.67%.The edema incidence of cerebral infarction of the observation group was 6.67%,was lower than the control group’s 23.33%.Conclusion：Controlling decompression severe brain injury prevention in elderly is clinically feasible .