早期颅骨修补及脑室腹腔分流在脑外伤治疗中的作用效果体会

Early cranial repair and intraventricular shunt in the treatment of traumatic brain injury

目的本文就早期颅骨修补及脑室腹腔分流在脑外伤治疗中的作用效果进行分析与探讨。方法选择82例脑外伤患者,按照随机数字表法将其分为两组,即实验组与参照组,各41例。参照组患者入院后先给予脑室腹腔分流术,待3个月后依据患者病情给予颅骨修补治疗,实验组患者入院后给予早期颅骨修补及脑室腹腔分流进行治疗;比较两组脑外伤患者的治疗总有效率、GCS评分改善程度、并发症发生率以及肢体功能恢复优良率。结果实验组患者的治疗总有效率是90.24%,高于参照组,GCS评分是(12.92±1.33)分,改善程度优于参照组,并发症发生率是12.20%,低于参照组,肢体功能恢复优良率是95.12%,高于参照组,两组患者的治疗效果比较,差异均具有统计学意义(P<0.05)。结论对脑外伤患者实施早期颅骨修补及脑室腹腔分流治疗效果显著,可减少并发症,促进患者肢体功能恢复,具有较高的临床实践价值。

Objective To study the effect of early cranial repair and ventriculoperitoneal shunt in the treatment of traumatic brain injury.Methods82patients with traumatic brain injury were randomly divided into two groups,experimental group and control group.Patients in the referencegroup were given intraperitoneal shunt after admission.After3months,the skull was repaired according to the patient's condition.The patients in theexperimental group were treated with early skull repair and ventriculoperitoneal shunt.Efficiency,GCS score to improve the degree of complicationsand the incidence of limb function recovery rate.Results The total effective rate of the treatment group was97.56%,higher than the control group,GCS score was(12.92±1.33)points,the improvement was better than the reference group,the complication rate was12.20%,lower than the referencegroup,limb function The recovery rate was95.12%,higher than the reference group,the two groups of patients treated with the difference,thedifference was statistically significant(P<0.05).Conclusion Early craniotomy and ventriculoperitoneal shunt are effective in patients with traumaticbrain injury,which can reduce the complications and promote the recovery of limb function in patients with brain trauma.It has high clinical practicevalue.