阶梯式减压在重症颅脑外伤患者标准大骨瓣减压术中的应用

Application of Step Decompression in Standard Large Bone Flap Decompression for Severe Craniocerebral Trauma

目的观察阶梯式减压在重症颅脑外伤患者标准大骨瓣减压术中的应用效果。方法选取平邑县人民医院2014年1月-2019年1月收治的重症颅脑外伤患者200例,采用随机数表法将其分为观察组与对照组各100例,对照组实行标准大骨瓣减压术,观察组在对照组基础上采用阶梯式减压,比较两组患者手术情况、预后效果和并发症发生情况。结果观察组患者手术时间较对照组要短,术中出血量也较少(P<0.05);观察组患者格拉斯哥昏迷评分(GCS)比对照组高,其预后效果更好(P<0.05);观察组并发症总发生率明显低于对照组(P<0.05)。结论将阶梯式减压运用到标准大骨瓣减压术中能够更有效控制患者颅内压,有较好的临床疗效。

Objective To observe the effect of step decompression in standard large bone flap decompression for severe craniocerebral trauma.Methods 200 patients with severe craniocerebral injury admitted in our hospital from January 2014 to January 2019 were randomly divided into observation group and control group with 100 cases in each group.The observation group applied step decompression to large bone flap decompression,while the control group only applied standard large bone flap decompression.The operation,prognosis and complications of the two groups were compared.Results The operation time of observation group was shorter than that of control group,and the amount of bleeding during operation was also less,the difference was statistically significant(P<0.05);the observation group had a higher Glasgow coma score(GCS)than the control group,and the prognosis effect was better,The difference was statistically significant(P<0.05);the total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Applying stepped decompression to standard large bone flap decompression can more effectively control the patient's intracranial pressure,and has a better clinical effect.