标准外伤骨瓣开颅术治疗重型颅脑损伤的临床效果观察

Observation on clinical effect of standard large trauma craniotomy in the treatment of severe craniocerebral injury

目的观察应用标准外伤骨瓣开颅术治疗重型颅脑损伤的临床效果。方法 90例重型颅脑损伤患者,根据入院顺序分为对照组及观察组,各45例。对照组行常规骨瓣开颅术治疗,观察组行标准外伤骨瓣开颅术治疗。比较两组患者的临床治疗效果。结果观察组治疗效果优于对照组,差异具有统计学意义(P<0.05)。其中,观察组的良好率为55.56%,高于对照组的28.89%,观察组的重残率为11.11%,低于对照组的31.11%,差异均具有统计学意义(P<0.05)。观察组并发症发生率为8.89%,低于对照组的24.44%,差异具有统计学意义(P<0.05)。治疗后,两组患者的神经功能缺损评分均低于治疗前,且观察组低于对照组,差异均具有统计学意义(P<0.05)。结论采用标准外伤骨瓣开颅术治疗重型颅脑损伤可以明显改善治疗效果,促进预后,还能有效控制并发症的发生,促进神经功能的恢复,安全可靠,具有良好的临床应用价值。

Objective To observe the clinical effect of standard large trauma craniotomy applied in the treatment of severe craniocerebral injury. Methods A total of 90 severe craniocerebral injury patients were divided by admission order into control group and observation group, with 45 cases in each group. The control group received routine temporoparietal craniectomy for treatment, and the observation group received standard large trauma craniotomy for treatment. Clinical treatment effect was compared in two groups. Results The observation group had better treatment effect than the control group, and the difference had statistical significance （P〈0.05）. The observation group had higher excellent-good rate as 55.56% than 28.89% in the control group. The observation group had lower serious deformity rate as 11.11% than 31.11% in the control group. Their difference had statistical significance （P〈0.05）. The observation group had lower incidence of complications as 8.89% than 24.44% in the control group, and the difference had statistical significance （P〈0.05）. After treatment, both groups had lower neurological function defect scale score than before treatment, and the observation group was lower than the control group. Their difference had statistical significance （P〈0.05）. Conclusion For the treatment of severe craniocerebral injury, standard large trauma craniotomy can obviously improve treatment effect, promote prognosis, effectively control the occurrence of complications and promote the recovery of neural function. And it is also safe and reliable with good clinical application value.