早期颅骨修补手术治疗脑外伤的效果探讨

The Effect of Early Skull Repair Surgery on Brain Trauma

目的探讨早期颅骨修补手术治疗脑外伤的效果。方法入组病例选取该院在2016年1月—2019年12月期间接收治疗的72例脑外伤患者,使用随机方法将患者分成对照组和观察组,两组例数均为36例,对照组采用常规的颅骨修补手术,即先进行脑室腹腔分流手术,3个月之后再进行颅骨修补手术,观察组采用早期颅骨修补手术治疗(伤后2个月),比较和观察两组治疗效果,明确早期颅骨修补手术临床应用价值。结果对照组和观察组预后良好率分别为77.78%和91.67%,两组比较差异有统计学意义(χ^2=7.986,P<0.05);观察组NIHSS评分明显低于对照组,GOS评分以及KPS评分均明显高于对照组,两组比较差异有统计学意义(t=6.425,5.235,7.424,P<0.05);观察组和对照组并发症发生率分别为8.33%和22.22%,两组比较差异有统计学意义(χ^2=11.344,P<0.05);经过不同治疗,观察组患者生活质量评分明显高于对照组,差异有统计学意义(t=8.422、14.532、7.577、8.254、11.542、13.332、6.667、8.355,P<0.05)。结论对脑外伤患者实施早期颅骨修补手术治疗,效果显著,值得在临床上推广和应用。

Objective To explore the effect of early skull repair surgery on brain trauma.Methods A total of 72 patients with brain trauma who were treated in the hospital from January 2016 to December 2019 were selected.The patients were randomly divided into the control group and the observation group.The number of cases in both groups was 36 and the control group with conventional cranial repair surgery,that is,the ventricular and abdominal shunt surgery was performed first,and the cranial repair surgery was performed 3 months later.The observation group was treated with early cranial repair surgery(2 months after injury).The treatment effects of clinical application value of early skull repair of the two groups were compared and observed.Results The good prognosis rates of the control group and observation group were 77.78%and 91.67%,respectively.The difference between the two groups was statistically significant(χ^2=7.986,P<0.05);the NIHSS score of the observation group was significantly lower than that of the control group,and the GOS score and KPS score were significantly higher than the control group,the difference between the two groups was significant(t=6.425,5.235,7.424,P<0.05);the incidence of complications in the observation group and the control group were 8.33%and 22.22%,respectively,and the difference between the two groups was statistically significantly(χ^2=11.344,P<0.05);After different treatments,the quality of life scores of patients in the observation group were significantly higher than those in the control group,with statistical significance(t=8.422,14.532,7.577,8.254,11.542,13.332,6.667,8.355,P<0.05).Conclusion Early cranial repair surgery is effective for patients with traumatic brain injury,and it is worthy of clinical promotion and application.