探究手术时机对颅脑外伤患者治疗成功率和并发症的影响

Exploration on the effect of operative timing on the success rate and complications of patients with craniocerebral trauma

目的:探究不同手术时机对颅脑外伤患者治疗成功率和术后并发症的影响。方法:收治颅脑外伤患者90例,平分两组。对照组昏迷后进行手术,观察组在伤后昏迷前进行手术,对比两组患者治疗成功率和术后并发症情况,使用生活质量评价量表(QOL)评估两组患者手术前后(6个月)的生活状态。结果:观察组患者治疗成功率为80.0%,远高于对照组的57.78%;观察组患者死亡率2.22%,低于对照组的15.56%;术后6个月治疗成功的患者QOL评分均显著升高,组间数据差异均有统计学意义(P<0.05)。结论:颅脑外伤患者在昏迷前进行手术能够提升治疗成功率和安全性,可尽量降低对患者生存质量的影响。

Objective:To explore the effect of different operative timing on the success rate and postoperative complications of patients with craniocerebral trauma.Methods:90 patients with craniocerebral trauma were selected,they were divided into the two groups on average,the control group was operated after coma,and the observation group was operated before coma.The treatment success rate and postoperative complications were compared between the two groups.The quality of life assessment scale(QOL)was used to evaluate the life status of the two groups before and after surgery(6 months).Results:The treatment success rate of the observation group was 80.0%,which was much higher than that of the control group(57.78%).The mortality rate of the observation group was 2.22%,which was lower than that of the control group(15.56%).The QOL scores of patients who had been successfully treated 6 months after operation were significantly higher,and the differences between the two groups were statistically significant(P<0.05).Conclusion:Operation before coma in patients with craniocerebral trauma can improve the treatment success rate and safety,and can minimize the impact on the quality of life of patients.