Ⅰ期与Ⅱ期去骨瓣减压对脑外伤患者的预后影响

Observation on prognosis of stage I and II of 98 patients after decompressive craniectomy traumatic brain injury

目的分析Ⅰ期与Ⅱ期去骨瓣减压对脑外伤后预后的影响。方法将98例脑外伤患者随机分为观察组与对照组,各49例。观察组行Ⅰ期去骨瓣减压治疗,对照组行Ⅱ期去骨瓣减压治疗,对比2组患者预后情况。结果观察组Ⅰ级、Ⅱ级、Ⅲ级发生率分别为2.04%、16.33%、26.53%,明显低于对照组的8.17%、22.45%、16.33%(P均<0.05);Ⅴ级发生率为24.49%明显高于对照组的4.08%(P<0.05)。结论脑外伤患者在条件允许情况下,可给予I期去骨瓣减压术治疗,以缓解颅内压,提高患者生存率,改善患者预后。

Objective To analyze the prognostic influence of phase I and II decompressive craniectomy on traumatic brain injury. Methods Totally 98 cases of patients with traumatic brain injury were randomly divided into observation group and control group,each of 49 cases. The observation group from stage I with bone flap decompression,control group II underwent bone flap decompressive craniectomy,com-pared prognosis of patients. Results Grade I,II,III in observation group occurred 2. 04% ,16. 33% ,26. 53% ,which was significantly lower than that of the control group of 8. 17% ,22. 45% ,16. 33% ;V occurrence rate of 24. 49% was significantly higher than that of the control group 4. 08%（P 〈 0. 05）. Conclusion Patients with traumatic brain injury can be given decompressive craniectomy treatment during periodI, to relieve intracranial pressure,increase survival rate,improve prognosis of patients.