渐进性减压治疗重型颅脑损伤效果观察

Effects of progressive decompression on severe craniocerebral injury

目的比较渐进性减压与常规减压治疗重型颅脑损伤的效果。方法选取本院2016年1月至2018年12月收治的重型颅脑损伤患者90例作为研究对象,随机分为观察组和对照组各45例,观察组采用渐进性减压,对照组采用常规减压,比较两组患者手术情况、手术前后颅内压、手术前后GCS评分、并发症、术后预后良好率。结果观察组术后1d、5d、10d颅内压值低于对照组,差异有统计学意义(P<0.05);观察组术后10d、1个月GCS值均高于术后对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05);观察组术后恢复良好率高于对照组,差异有统计学意义(P<0.05);观察组术后5个月死亡率低于对照组,差异有统计学意义(P<0.05)。结论渐进性减压治疗重型颅脑损伤疗效较好,可降低术后并发症的发生率,患者预后效果较好。

Objective To compare the effects of progressive decompression and conventional de-compression on severe craniocerebral injury. Methods A total of 90 patients with severe cranio-cerebral injury in our hospitai from January 2016 to December 2018 were selected and randomly divided into observation group and control group, with 45 cases in each group. The observation group was treated with progressive decompression, and the control group was treated with con-ventional decompression. The operation conditions, intracranial pressure before and after opera-tion, GCS score before and after operation, complications and good postoperative prognosis rate were compared between the two groups. Results The intracranial pressure values in observation group were lower than those in control group at Id, 5d and lOd after operation (P<0.05). The GCS values at lOd and 1 month after operation in observation group were higher than those in control group (P<0.05). The incidence rates of postoperative complications in observation group were significantly lower than those in control group (P<0.05). The good rate of postoperative recovery in observation group was higher than that in control group (P<0.05). The mortality rate in observation group at 5 months after operation was lower than that in control group (P< 0.05). Conclusion Progressive decompression has good efficacy in the treatment of severe craniocerebral injury, and it can reduce the incidence rates of postoperative complications, and it has good prognosis effects.