颅脑外伤合并颅内血肿患者手术时机及预后的相关性

Correlation Between Operation Time and Prognosis of Traumatic Brain Injury Combined With Intracranial Hematoma

目的探析颅脑外伤合并颅内血肿患者手术时机及预后。方法选取我院在2014年1月—2016年1月收治的134例颅脑外伤合并颅内血肿患者,将其随机分为研究组和对照组,各为67例,研究组在患者昏迷前手术治疗;对照组在患者昏迷后手术治疗,比较两组手术效果及预后情况。结果研究组良好率47.76%、存活率97.01%、死亡率2.99%与对照组比较,差异有统计学意义,P<0.05;治疗后两组NIHSS评分均下降,但研究组下降幅度更加明显,与对照组比较,差异有统计学意义,P<0.05。结论对于颅脑外伤合并颅内血肿的患者,在患者清醒时或昏迷前进行手术治疗,明显改善预后。

Objective Analysis of operation time and prognosis of traumatic brain injury accompanied with intracranial hematoma. Methods From January 2014 to January 2016, 134 cases of craniocerebral trauma with intracranial hematoma in our hospital were treated, they were randomly divided into the study group and the control group, each with 67 cases, study group underwent surgical treatment before the patient fainted; the control group received surgical treatment after coma, the operation effect and prognosis of the two groups were compared. Results The good rate of the study group was 47.76%, the survival rate was 97.01%, and the mortality was 2.99%. Compared with the control group, the difference was statistically significant, P 〈 0.05; After treatment, the two groups NIHSS score decreased, but the study group decreased more, and compared with the control group, the difference was statistically significant, P 〈 0.05. Conclusion For patients with traumatic brain injury combined with intracranial hematoma, surgery is significantly improved before the patient is awake or unconscious.