标准大骨瓣开颅术治疗重型颅脑损伤临床研究

Clinical Research of Standard Large Trauma Craniotomy in Severe Craniocerebral Injury

目的探究重型颅脑损伤患者在使用标准大骨瓣开颅术治疗后的治疗效果。方法研究对象为我院2016年6月—2017年6月收治的96例重型颅脑损伤患者,将其采用随机数字表法分成治疗1组与治疗2组,48例治疗1组采用标准大骨瓣开颅术,另48例治疗2组采用额颞骨瓣开颅术治疗。探讨实施不同治疗对治疗效果及并发症的影响。结果治疗1组治疗总有效率(85.42%)比治疗2组(56.25%)高,差异有统计学意义(χ~2=9.882,P<0.05),且并发症发生率(10.42%)比治疗2组(39.58%)低,差异有统计学意义(χ~2=10.889,P<0.05)。结论将标准大骨瓣开颅术应用于重型颅脑损伤患者时,能减少并发症发生率,提升治疗治疗效果。

Objective To explore the therapeutic effect of standard large trauma craniotomy in severe craniocerebral injury.Methods 96 severe craniocerebral injury patients treated from June 2016 to June 2017 in our hospital were selected.The subjects were randomly assigned to two groups,48 cases in each group.Group one was treated with standard large trauma craniotomy;Group two was treated with frontotemporal bone flap craniotomy.The therapeutic effect and complications were probed.Results The total effective rate in the Group one was significantly higher than Group two(85.42%vs.56.25%)(χ2=9.882,P<0.05);the incidence rate of complications in the Group one was significantly lower than Group two(10.42%vs.39.58%)(χ2=10.889,P<0.05).Conclusion The standard large trauma craniotomy can dramatically reduce the incidence rate of complications and increase the therapeutic effect.