控制性阶梯式减压在重型颅脑损伤手术中的应用效果

Application effects of controlled step decompression in severe craniocerebral injury

目的探讨控制性阶梯式减压在重型颅脑损伤手术中的应用效果。方法对医院2011年1月至2015年12月84例重型颅脑损伤患者分别实施标准大骨瓣减压手术(对照组,42例)与控制性阶梯式减压手术(研究组,42例),通过观察比较2组的并发症及预后来评价治疗效果。结果研究组的并发症发生率、预后良好率分别为9.52%、78.57%,对照组的并发症发生率、预后良好率分别为35.71%、50%,2组比较差异有统计学意义(P<0.05)。结论控制性阶梯式减压能够显著减少重型颅脑损伤患者的并发症,改善患者预后,具有较高的临床应用价值。

Objective To investigate the application effects of controlled step decompression in severe craniocere- bral injury. Methods From January 2011 to December 2015, 84 patients with severe eraniocerebral injury were treated with standard large decompressive craniectomy （control group, 42 cases） and controlled step decom- pression （study group, 42 cases）. The complications and prognosis of the two groups were observed and compared to evaluate the therapeutic effect. Results The incidence of complications and prognosis in the study group were respectively 9.52% and 78.57%, the incidence of complications and prognosis in the control group were respectively 35.71% and 50%, the difference between the 2 groups was statistically significant （P〈0. 05）. Conclusion Controlled step decompression can significantly reduce the complications of patients with severe traumatic brain injury, improve the prognosis, with high clinical value.