脑外伤进行早期颅骨修补术联合脑室腹腔分流术的效果评价

Effect Evaluation of Cranioplasty Combined with Ventriculoperitoneal Shunt in the Treatment of Patients with Brain Trauma in Early Stage

目的评价早期应用颅骨修补术联合脑室腹腔分流术治疗脑外伤的临床效果及预后。方法随机选取2013年3月—2015年3月在该院接受治疗的80例脑外伤患者进行研究,利用随机双盲法将其划分入对照组与实验组,各40例,所有患者均于受伤早期接受开颅血肿清除术与去骨瓣减压术治疗,术后3个月对照组行脑室腹腔分流术,再过3个月行颅骨修补术;实验组则在术后3个月时接受颅骨修补术联合脑室腹腔分流术,观察比较两组患者GCS评分、NHISS评分、并发症情况。结果实验组患者GCS评分优良率优于对照组(P<0.05);与对照组相比,实验组NHISS评分下降明显(P<0.05);实验组患者的术后并发症较对照组更低(P<0.05)。结论对脑外伤患者早期施以颅骨修补术联合脑室腹腔分流术,患者预后与生存质量均得到改善,且并发症少,总体疗效良好。

Objective To evaluate the clinical effect and prognosis of cranioplasty combined with ventriculoperitoneal shunt in treatment of patients with brain trauma in early stage. Methods 80 cases with brain trauma treated in our hospital from March 2013 to March 2015 were selected and randomly divided into control group and experimental group with 40 cases in each. All the patients with brain trauma in early stage received craniotomy hematoma removal and decompressive craniecto-my treatment, the control group were given ventriculoperitoneal shunt in three months after operation and cranioplasty in six months after operation, the experimental group were given cranioplasty combined with ventriculoperitoneal shunt in three months after operation. GCS score, NHISS score and complications of the two groups were observed and compared. Results The excellent and good rate of GCS score in the experimental group was better than that in the control group （P〈0.05）. Compared with that in the control group, the NHISS score in the experimental group was obviously decreased （P〈0.05）. The incidence of postoperative complications in the experimental group was lower than that in the control group （P〈0.05）. Con-clusion Cranioplasty combined with ventriculoperitoneal shunt in treatment of patients with brain trauma in early stage can improve the prognosis and quality of life of patients, and there are few complications and good global curative effect.