神经外科危重颅脑外伤的临床治疗效果分析

Clinical analysis of severe craniocerebral trauma in Department of Neurosurgery

目的研究分析神经外科危重颅脑外伤的临床治疗效果。方法对危重颅脑外伤患者92例进行研究,将92例患者随机分为两组,观察组46例和对照组46例,两组患者均进行常规治疗,包括脱水、扩血管等,在次基础上,对照组患者发病1个月后进行高压氧治疗,观察组患者在发病1个月内进行高压氧治疗,评价比观察组与对照组的治疗效果,并进行比较分析,评价指标包括格拉斯哥昏迷评分、日常生活活动能力评分。结果观察组患者治疗前日常生活活动能力评分、格拉斯哥昏迷评分与对照组比较差异无统计学意义;观察组患者治疗后治疗前日常生活活动能力评分(85.73±11.84)、格拉斯哥昏迷评分(13.65±2.77)均比对照组(68.92±11.69)、(8.84±2.08)高,两组数据差异有统计学意义(P<0.05)。结论神经外科危重颅脑外伤的临床治疗效果较好,具有较高的临床应用价值,值得推广应用。

Objective To study the clinical effect of severe craniocerebral trauma in Department of neurosurgery. Methods To study the severe craniocerebral trauma patients in our hospital received 92 cases, 92 patients were randomly divided into two groups, the observation group 46 cases and control group 46 cases, two patients were given conventional treatment, including dehydration, vasodilator, on this basis, the patients in the con- trol group 1 months after the onset of hyperbaric oxygen therapy, patients in study group were treated with hyperbaric oxygen therapy within 1 months of onset, compared with the observation group and the control group treatment effect, and the comparative analysis, evaluation index includ- ing Glasgow coma score and activities of daily life ability score. Results The observation group activities of daily life of patients before treatment, scores of Glasgow coma score with the control group, the difference was not statistically significant; patients in the observation group after treatment, the activities of daily living score （85.73 ~ 11.84）, Glasgow coma score （13.65 ~ 2.77） than the control group （68.92 ~ 11.69）, （8.84 ~ 2.08）, the dif- ferences between the two groups of data were statistically significant to observe the activities of daily living groups before treatment score, Glasgow coma score compared with the control group had no difference, no statistical significance; patients in the observation group after treatment, the abili- ty of daily life before the score, Glasgow coma score were higher than the control group, the differences between the two groups of data were statisti- cally significant （P〈0.05）. Conclusion The clinical effect of the treatment of severe craniocerebral trauma in Department of neurosurgery is good, it has high clinical application value, it is worthy of popularization and Application.