不同手术时机对老年颅脑外伤患者治疗效果的影响

Influence of different operation time on the treatment effect of elderly patients with craniocerebral trauma

目的探讨不同手术时机对老年颅脑外伤患者治疗效果的影响。方法选择我科室2013年1月至2016年1月收治的98例老年颅脑外伤患者为研究对象,根据不同手术时机分为观察组(49例)与对照组(49例)。观察组患者于伤后早期(昏迷前)进行手术,对照组于伤后稍晚期(昏迷后)进行手术。比较两组患者手术预后和并发症情况。结果观察组患者手术效果良好率高于对照组,致残率、死亡率、并发症总发生率均低于对照组(P<0.05)。术前,两组患者QOL评分无明显差异(P>0.05);术后1年,两组患者QOL评分均有改善,且观察组明显优于对照组(P<0.01)。结论老年颅脑外伤患者早期进行手术治疗能明显改善患者手术预后和生活质量,减少并发症的发生。

Objective To explore the effect of different operation time in elderly craniocerebral trauma patients.Methods Ninety-eight elderly craniocerebral trauma patients treated in our department from January 2013 to January 2016 were selected and divided into observation group(49 cases)and control group(49 cases)according to different operation time.The patients in the observation group were given operations on the early stage after trauma(before coma)and the patients in the control group were given operations on the later period after trauma(after coma).The condition of prognosis and complications were compared in the two groups.Results In the observation group,the good rate of operation was higher than that in the control group,the disability rate,death rate and total incidence of complications were lower than those of the control group(P<0.05).Before operation,there was no significant difference in QOL scores between the two groups(P>0.05);1 year after operation,the QOL scores in the two groups obviously improved,and the QOL score of the observation group was obviously better than that of the control group(P<0.01).Conclusion Early surgical treatment in elderly craniocerebral trauma patients can improve the prognosis and quality of life of patients,with less complication.