重型颅脑外伤患者应用改良标准外伤大骨瓣开颅术的临床效果研究

Clinical effect of modified standard large trauma craniotomy in patients with severe traumatic brain injury

目的探究重型颅脑外伤患者应用改良标准外伤大骨瓣开颅术的临床效果。方法选取2015年5月~2016年12月收治的50例重型颅脑外伤患者作为研究对象,患者均采取改良标准外伤大骨瓣开颅术治疗(研究组),并选取2014年1月~2015年4月收治标准外伤大骨瓣开颅术治疗的50例重型颅脑外伤患者作为对照组,对比两组术后24 h再手术率、预后情况、术前术后格拉斯哥昏迷指数(GCS)评分、并发症情况及手术满意度。结果研究组术后24 h再手术率为0.00%,明显低于对照组8.00%;研究组预后总有效率为96.00%,高于对照组84.00%;两组术前GCS评分相当,术后研究组评分优于对照组;研究组并发症率为4.00%,低于对照组16.00%,手术满意率为98.00%,高于对照组84.00%,差异具有统计学意义(P<0.05)。结论重型颅脑外伤患者应用改良标准外伤大骨瓣开颅术的临床效果显著,患者再手术率低,恢复好,并发症少,满意度高。

Objective To explore the application of improved standard trauma patients with severe head injury big hone flap craniotomy surgery clinical effect. Methods 50 cases of severe craniocerebral trauma patients in our hospital from May 2015 to 2016 December as the object of study.Patients were treated by large bone flap craniotomy for improved standard trauma （Study Group）, and 50 cases of severe cranioeerebral trauma patients from January 2014 to April 2015 from the standard large trauma craniotomy in the treatment as the control group. Comparing the two groups of 24 h after reoperation rate, prognosis, preoperative and postoperative Glasgow Coma Scale （GCS） score, satisfaction and complication. Results Team 24 h after reoperation rate was 0.00%, significantly lower than the control group 8.00%; Team prognosis the total effective rate was 96.00%, 84.00% higher than the control group; Preoperative GCS score of the two groups, after the team score is better than that of control group; The team the complication rate was 4.00%, lower than the control group 4.00%, operation satisfaction rate of 98.00%, 84.00% higher than the control group, and the difference is statistically significant. Conclusion Application of improved standard trauma patients with severe head injury big bone flap craniotomy surgery clinical effect is remarkahle, reoperation rate is low, good recovery, fewer complications, satisfaction is high, with very high value of clinical application and promotion.