标准外伤大骨瓣开颅术在重型颅脑损伤治疗中的应用效果

Application effect of standard large traumatic craniotomy in the treatment of severe craniocerebral injury

目的探讨标准外伤大骨瓣开颅术在重型颅脑损伤治疗中的应用效果。方法选取2016年5月~2018年12月我院收治的128例重型颅脑损伤患者作为研究对象,按照电脑随机法分为观察组(64例)和对照组(64例)。观察组采用标准外伤大骨瓣开颅术治疗,对照组采用常规骨瓣开颅减压术治疗。比较两组手术前后的颅内压水平、并发症总发生率及手术前后的神经功能缺损评分。结果观察组术后第1、3天的颅内压低于对照组,差异均有统计学意义(P<0.05);观察组的并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组术后的神经功能缺损评分低于对照组,差异有统计学意义(P<0.05)。结论标准外伤大骨瓣开颅术在重型颅脑损伤治疗中具有较好的治疗效果,能降低患者的颅内压水平,改善患者的神经功能缺损情况,降低患者的并发症发生率。

Objective To explore the application effect of standard large traumatic craniotomy in the treatment of severe craniocerebral injury. Methods A total of 128 patients with severe craniocerebral injury admitted to our hospital from May 2016 to December 2018 were selected as the research objects according to the computer random method, they were divided into observation group (64 cases) and control group (64 cases). The observation group was treated with standard large traumatic craniotomy, while the control group was treated with conventional craniotomy and decompression. The levels of intracranial pressurebefore and after operation, total incidence of complications and neurological deficit scores before and after operation were compared between the two groups. Results The intracranial pressure of the observation group was lower than that of the control group on the 1st and 3rd day after operation, the differences were statistically significant (P<0.05). The total incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). The neurological deficit score of the observation group was lower than that of the control group, the difference was statistically significant (P<0.05). Conclusion Standard large traumatic craniotomy has a good therapeutic effect in the treatment of severe craniocerebral injury. It can reduce the level of intracranial pressure, improve the neurological deficits of patients, and reduce the incidence of complications.