早期颅骨修补在脑外伤治疗中的应用及预后情况研究

Application and prognosis of early skull repair in the treatment of traumatic brain injury

目的:探讨早期颅骨修补在脑外伤治疗中的应用及预后情况。方法:2018年1月-2020年1月收治脑外伤患者60例,随机分为两组,各30例。对照组于初次减压术后2个月展开常规颅骨修补治疗;研究组于初次减压术后2个月内展开早期颅骨修补治疗。比较两组手术前神经功能缺损评分(NIHSS)、术后生活质量评分及并发症发生率。结果:研究组术后NIHSS评分低于对照组,差异有统计学意义(P<0.05);研究组术后生活质量评分高于对照组,差异有统计学意义(P<0.05);研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:脑外伤患者临床治疗方案中,采取早期颅骨修补治疗,能够有效改善患者神经功能,促进神经功能恢复,减少术后并发症发生率,提高术后生活质量。

Objective:To explore the application and prognosis of early skull repair in the treatment of traumatic brain injury.Methods:From January 2018 to January 2020,60 patients with traumatic brain injury were selected and randomly divided into two groups with 30 cases in each group.The control group was treated with conventional skull repair at 2 months after the first decompression.The study group was treated with early skull repair within 2 months after the first decompression.We compared the neurological deficit score(NIHSS),postoperative quality of life score and the incidence of complications between the two groups.Results:The postoperative NIHSS score of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).The postoperative quality of life score of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:In the clinical treatment of patients with traumatic brain injury,early skull repair can effectively improve the patient's neurological function,promote the recovery of neurological function,reduce the incidence of postoperative complications,and improve the quality of life after surgery.