手术治疗颅脑损伤所致大面积脑梗死临床分析

Clinical analysis of surgical treatment of massive cerebral infarction caused by craniocerebral injury

目的分析手术治疗颅脑损伤所致大面积脑梗死的效果,为颅脑损伤所致大面积脑梗死的临床治疗提供参考。方法随机抽取滕州市中心人民医院2019年1月—2022年2月收治的经头颅CT确诊的62例颅脑损伤所致大面积脑梗死患者,按照双盲法分为对照组和观察组各31例。对照组行保守治疗,观察组行手术治疗,比较两组治疗效果、并发症发生率、GCS评分及NIHSS评分。结果观察组治疗总有效率为96.77%,高于对照组的77.42%;并发症发生率为3.32%,低于对照组的19.35%,差异均有统计学意义(P<0.05)。治疗前,两组GCS评分比较差异无统计学意义(P>0.05);治疗后,观察组各项GCS评分高于对照组,差异均有统计学意义(P<0.05)。治疗前,两组NIHSS评分比较差异无统计学意义(P>0.05);治疗后,观察组各项NIHSS评分低于对照组,差异均有统计学意义(P<0.05)。结论颅脑损伤所致大面积脑梗死患者使用手术治疗效果更加明显,能降低并发症发生率及神经功能缺损评分,提高GCS评分,值得临床推广应用。

Objective To analyze the effect of surgical treatment of massive cerebral infarction caused by craniocerebral injury,in order to provide reference for clinical treatment of massive cerebral infarction caused by craniocerebral injury.Methods Sixty-two patients with massive cerebral infarction caused by craniocerebral injury diagnosed by head CT admitted to Tengzhou Central People’s Hospital from January 2019 to February 2022 were randomly selected and divided into control group and observation group by double-blind method,with 31 cases in each group.The control group received conservative treatment and the observation group received surgical treatment.The treatment effect,complication rate,GCS score and NIHSS score of the two groups were compared.Results The total effective treatment rate of observation group was 96.77%,which was higher than that of control group with 77.42%;the incidence of complications was 3.32%,which was lower than 19.35%in control group,and the differences were statistical significance(P<0.05).There were no significant differences in GCS scores between the two groups before treatment(P>0.05);after treatment,the each GCS scores of observation group were higher than those of control group,and the differences were statistically significant(P<0.05).Before treatment,there were no statistically significant differences in NIHSS scores between the two groups(P>0.05);after treatment,the each NIHSS scores of the observation group were lower than those of the control group,and the differences were statistical significance(P<0.05).Conclusion Surgical treatment was more effective in patients with massive cerebral infarction caused by craniocerebral injury,which could reduce the incidence of complications and neurological deficit score,improve GCS score.It was worthy of clinical promotion and application.