比较两种治疗方式对颅脑损伤致大面积脑梗死的临床疗效

The Clinical Effects of Two Treatments on Cerebral Infarction Caused by Craniocerebral Injury

目的对比颅脑损伤致大面积脑梗死行标准大骨瓣、传统去骨瓣减压术治疗的临床疗效,为此类脑梗死手术治疗工作提供参考。方法选择我院2012年3月—2017年3月收治的68例颅脑损伤致大面积脑梗死患者,按照随机数字表法分组(对照组、试验组)。对照组患者接受传统去骨瓣减压术治疗,试验组患者接受标准大骨瓣减压术治疗。对比两组大面积脑梗死患者术前、术后1 d、术后1周脑梗死面积变化情况以及治疗效果、并发症情况、格拉斯哥昏迷评分量表(GCS)评分变化情况。结果术后1 d、术后1周脑梗死面积以及治疗后GCS评分对比,试验组均优于对照组,P<0.05。术后临床疗效对比,试验组高于对照组,P<0.05。术后并发症发生率对比,试验组低于对照组,P<0.05。结论对比传统去骨瓣减压术,标准大骨瓣减压术治疗颅脑损伤致大面积脑梗死整体价值更为突出,降低了患者的死亡率、并发症发生率、梗死面积,改善了患者GCS评分。

Objective To compare the clinical efficacy of standard large bone fap decompression and traditional decompression of bone fap in the treatment of massive cerebral infarction caused by craniocerebral injury, to provide reference for the treatment of such cerebral infarction. Methods 68 patients with cerebral infarction caused by craniocerebral injury in our hospital from March 2012 to March 2017 were selected according to the random number table method （control group and test group）. In the control group, patients were treated with traditional de-sacral decompression, and the patients were treated with standard large bone flap decompression in the experimental group. The large area cerebral infarction patients with preoperative and postoperative 1 d, 1 week after operation, the change of the cerebral infarction area and the therapeutic effect and complications, Glasgow coma scale （GCS） score changes in two groups were compared. Results After 1 d, 1 week after operation, the area of cerebral infarction and GCS score were compared after treatment, and the experimental group was better than the control group, P 〈 0.05. Postoperative clinical efcacy was compared, and the experimental group was higher than the control group, P 〈 0.05. The incidence of postoperative complications was compared with that in the control group, P 〈 0.05. Conclusion Compared to traditional bone disc decompression and standard big bone fap decompression in the treatment of craniocerebral injury caused by large area cerebral infarction overall value is more outstanding, reduce the mortality rate of patients, complications, the infarction area, improved the patients with GCS score.