早期颅骨修补术在脑外伤术后患者中的应用及对神经、运动功能的影响

Application of Early Cranioplasty in Patients with Traumatic Brain Injury after Surgery and Its Influence on Nerve and Motor Function

目的:探究早期颅骨修补术在脑外伤术后患者中的应用效果及对神经、运动功能的影响。方法:选取2017年1月-2019年10月本院收治的脑外伤术后需要进行颅骨修补的患者110例作为研究对象。将其按照进行修补手术的时间分为观察组和对照组,每组55例。两组均实施去骨瓣减压术的治疗方法,且术后均进行颅骨修补术治疗,但观察组去骨瓣减压术后3个月进行颅骨修补术治疗,对照组去骨瓣减压术后3~6个月内进行颅骨修补术治疗。比较两组预后情况、手术前后神经功能、日常活动能力、运动功能及并发症情况。结果:观察组的预后情况整体优于对照组(P<0.05)。两组手术后神经功能、日常活动能力、上肢及下肢运动功能均较手术前改善,观察组优于对照组(P<0.05)。观察组并发症发生率为5.45%,明显低于对照组的18.18%(P<0.05)。结论:对于脑外伤术后的患者,若需要进行颅骨修补术,早期应用的效果较好,可有效改善患者的预后,减轻神经损伤,提高日常活动能力及运动功能,且并发症较少,值得临床重视。

Objective:To explore the application effect of early cranioplasty in patients with traumatic brain injury after surgery and its influence on nerve and motor function.Method:From January 2017 to October 2019 in our hospital,110 patients who needed cranioplasty after craniotomy were selected as the study objects.According to the time of repair operation,the patients were divided into the observation group and the control group,with 55 cases in each group.They were treated with decompressive craniectomy,and all patients were treated with cranioplasty after operation,but the observation group was treated with cranioplasty 3 months after decompressive craniectomy,and the control group was treated with cranioplasty within 3-6 months after decompressive craniectomy.The prognosis,neurological function,daily activity,motor function and complications were compared between the two groups.Result:The overall prognosis of the observation group was better than that of the control group (P<0.05).The neurological function,daily activity ability,upper limb and lower limb motor function of the two groups after operation were improved than those before operation,and those of the observation group were better than those of the control group (P<0.05).The incidence of complications in the observation group was 5.45%,which was lower than 18.18% in the control group (P<0.05).Conclusion:For patients with traumatic brain injury after surgery,if cranioplasty is needed,the effect of early application is better,which can effectively improve the prognosis of patients,reduce neurological injury,improve the ability of daily activities and motor function,and have fewer complications,which is worthy of clinical attention.