分步控制性减压术治疗重型脑外伤患者的临床疗效研究

Clinical effect of stepwise controlled decompression in the treatment of patients with severe traumatic brain injury

目的:探讨分步控制性减压术治疗重型脑外伤的临床疗效。方法:2018年2月-2020年2月收治重型脑外伤患者66例,根据手术治疗模式不同分为两组,各33例。对照组采用开颅血肿清除及骨瓣减压术治疗,试验组采用分步控制性减压术治疗。比较两组治疗效果。结果:试验组术后恢复情况良好率明显高于对照组,差异有统计学意义(P<0.05);试验组自主生活能力评分明显高于对照组,差异有统计学意义(P<0.05);试验组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:对重型脑外伤患者使用分步控制性减压术治疗,能够提高患者术后恢复效果和自主生活能力,同时减少相关并发症的发生率。

Objective:To explore the clinical effect of stepwise controlled decompression in the treatment of patients with severe traumatic brain injury.Methods:From February 2018 to February 2020,66 patients with severe brain injury were selected,and they were divided into two groups with 33 cases in each group according to different surgical treatment modes.The control group was treated with craniotomy hematoma clearance and bone flap decompression.The experimental group was treated with stepwise controlled decompression.We compared the treatment effect of the two groups.Results:In the experimental group,the rate of good postoperative recovery was significantly higher than that in the control group,the difference was statistically significant(P<0.05).In the experimental group,the score of autonomous living ability was significantly higher than that in the control group,the difference was statistically significant(P<0.05).In the experimental group,the incidence of complications was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of stepwise controlled decompression in the treatment of patients with severe traumatic brain injury can improve the effect of postoperative recovery and the ability of independent living,and reduce the incidence of complications.