大骨瓣减压术中渐进减压治疗重型颅脑外伤的临床效果

Clinical Effect of Gradual Decompression during Bone Flap Decompression in the Treatment of Severe Craniocerebral Injury

目的探讨大骨瓣减压术中渐进减压治疗重型颅脑外伤的临床效果。方法选取2012年9月至2016年6月期间我院收治的120例重型颅脑外伤患者,随机分为观察组和对照组各60例。对照组采用常规大骨瓣减压术治疗,观察组采用大骨瓣减压术中渐进减压治疗。分析比较两组患者不同时间点的颅内压、 GCS评分以及预后、并发症情况。结果术后1 d、 3 d、 5 d,观察组的颅内压均低于对照组, GCS评分均高于对照组(P均<0.05)。观察组的预后良好率显著高于对照组(P <0.05)。观察组的术后并发症发生率显著低于对照组(P <0.05)。结论重型颅脑外伤大骨瓣减压术中渐进减压治疗重型颅脑外伤患者,能够有效控制颅内压,促进受损神经功能恢复,并减少术后并发症的发生,有助于改善患者预后。

Objective To explore the clinical effect of gradual decompression during bone flap decompression in the treatment of severe craniocerebral injury.Methods 120 cases of patients with severe craniocerebral injury admitted to our hospital from September 2012 to June 2016 were selected and randomly divided into observation group and control group,with 60 cases in each group.The control group received routine bone flap decompression,while the observation group received gradual decompression during bone flap decompression.The intracranial pressure and GCS score at different time points,and prognosis and complications were analyzed and compared between the two groups.Results 1 d,3 d and 5 d after operation,the intracranial pressure of the observation group were lower than those of the control group,and the GCS scores were higher than those of the control group(all P<0.05).The rate of good prognosis of the observation group was significantly higher than that of the control group(P<0.05).The incidence of postoperative complications of the observation group was significantly lower than that of the control group(P<0.05).Conclusions Gradual decompression during bone flap decompression in the treatment of patients with severe craniocerebral injury can effectively control the intracranial pressure,promote the recovery of impaired nerve function,and reduce the postoperative complications,which is helpful to improve the prognosis of patients.