加压腹带促进慢性硬膜下血肿钻孔引流术患者脑组织结构复原的效果

Effects of pressed abdominal belt on promoting restore of brain organization structure among chronic subdural hematoma patients with trepanation and drainage

目的探讨加压腹带对慢性硬膜下血肿(CSDH)钻孔引流术患者术后脑组织结构复原的效果。方法选择2017年1—11月首都医科大学附属北京天坛医院神经外科收治的CSDH患者72例,按随机数字表分为试验组和对照组,各36例。对照组执行常规治疗和护理,试验组在此基础上佩戴加压腹带直到出院。比较两组患者术后3 d脑组织结构复位距离。结果术后3 d,试验组患者CT成像上脑组织结构复位距离为(17.19±7.18)mm,对照组为(12.83±8.42)mm,差异有统计学意义(t=2.26,P<0.05)。结论加压腹带作为一种简单有效的辅助治疗方案,能够促进CSDH钻孔引流术后脑组织结构的复原。

Objective To explore the pressed abdominal belt on promoting restore of brain organization structure among chronic subdural hematoma(CSDH)patients with trepanation and drainage.Methods From January to November 2017,we selected 72 CSDH patients of neurosurgery in Beijing Tiantan Hospital,Capital Medical University.All of the patients were divided into experimental group and control group with the random number table,36 cases in each group.Control group carried out routine treatment and nursing care.On the basis of that in control group,experimental group applied pressed abdominal belt until discharge.We compared the restore distance of brain organization structure of patients between two groups three days after surgery.Results Three days after surgery,the restore distance of brain organization structure by imaging of CT was(17.19±7.18)mm in patients of experimental group and(12.83±8.42)mm in patients of control group with a statistical difference(t=2.26,P<0.05).Conclusions Pressed abdominal belt as a simple and effective adjunctive therapy can promote restore of brain organization structure among CSDH patients with trepanation and drainage.