早期颅骨修补手术治疗脑外伤的临床价值

Clinical value of early skull repair surgery in the treatment of brain injury

目的 探讨早期颅骨修补手术治疗脑外伤的临床价值,为脑外伤患者探寻更好的治疗方案。方法 选取 2021 年 5月—2022 年 7 月滕州市中心人民医院收治的脑外伤患者 66 例纳入研究,随机分为对照组和观察组各 33 例。对照组先给予脑室-腹腔分流术,3 个月后给予颅骨修补术,观察组给予早期颅骨修补术与脑室-腹腔分流术联合治疗。比较两组治疗效果、术后恢复情况及并发症发生率。结果 观察组的优良率为 96.97%,高于对照组的 75.76%,差异有统计学意义(χ2=6.304,P<0.05)。观察组术后 NHISS 评分为(7.02±2.13)分,低于对照组的(9.17±2.36)分;QOL 评分为(92.56±4.78)分,高于对照组的(80.42±4.21)分,差异均有统计学意义(P<0.05)。观察组并发症发生率为 6.06%,明显低于对照组的 30.30%,差异有统计学意义(χ2=6.519,P<0.05)。结论 对脑外伤患者总采用脑室-腹腔分流术联合早期颅骨修补术,能提高手术疗效,改善神经功能,减少并发症,提高生活质量,值得临床推广应用。

Objective To explore the clinical value of early skull repair surgery in the treatment of brain injury,in order to explore the better treatment plan for patients with brain injury. Methods A total of 66patients with brain injury admitted to Tengzhou Central People’s Hospital from May 2021 to July 2022 were included in the study and randomly divided into control group and observation group with 33 patients in each group. The control group received ventriculo-peritoneal shunt first,and the skull repair surgery three months later. The observation group received early skull repair surgery combined with ventriculo-peritoneal shunt. The therapeutic effect,postoperative recovery and complication rate of the two groups were compared. Results The excellent and good rate of observation group was 96.97% ,which was higher than75.76% in the control group,and the difference was statistically significant (χ~2=6.304,P <0.05). The scores of NIHSS in the observation group was(7.02±2.13)points,which was lower than(9.17±2.36)points in the control group;the score of QOL in the observation group was(92.56±4.78)points,which was higher than (80.42±4.21)points in the control group,and the differnces were statistically significant (P<0.05)The incidence of complications in the observation group was 6.06% ,which was singificantly lower than30.30% in the control group,and the difference was statistically significant (χ~2=6.519,P <0.05)Conclusion Ventriculo -peritoneal shunt combined with early skull repair surgery for the patients with brain injury could improve the curative effect,improve the neurological function,reduce the complications and improve the quality of life,which was worthy of clinical promotion and application.