标准外伤大骨瓣开颅术治疗重型颅脑损伤患者的效果

Effect of Standard Large Trauma Craniotomy in the Treatment of Severe Craniocerebral Injury

目的分析标准外伤大骨瓣开颅术治疗重型颅脑损伤患者的效果。方法选取2015年1月至2019年1月徐州澳洋华安康复医院收治的60例重型颅脑损伤患者,所有患者均接受标准大骨瓣开颅术进行治疗,比较术前与术后半年患者的颅内压、生活质量与格拉斯哥昏迷量表(GCS)评分,同时观察患者手术预后与治疗满意度。结果术后半年,患者的颅内压、GCS评分与生活质量均较术前明显改善,差异均有统计学意义(P<0.05);患者对治疗的满意度均较高,术后绝大部分预后良好。结论针对重型颅脑损伤患者采用标准外伤大骨瓣开颅术进行治疗后,患者的颅内压与相关症状明显缓解,生活质量得到明显改善。

Objective To analyze the effect and value of standard large trauma craniotomy in the treatment of severe craniocerebral injury.Methods From January 2015 to January 2019,60 patients with severe craniocerebral injury admitted to Xuzhou Aoyang Hua'an Rehabilitation Hospital were selected.All patients were treated with standard large bone flap craniotomy.The intracranial pressure,quality of life and Glasgow Coma Scale(GCS)scores were compared between preoperative and postoperative half a year,and the surgical prognosis and treatment satisfaction were observed.Results Half a year after operation,intracranial pressure,GCS score and quality of life of patients were significantly improved compared with those before operation,the differences were statistically significant(P<0.05);patients'satisfaction with treatment was high,and most of the patients had good prognosis.Conclusion After standard trauma craniotomy for patients with severe head injury,the patient's intracranial pressure and related symptoms were significantly relieved,and the quality of life was significantly improved.