早期颅骨修补术治疗脑外伤的效果及MMSE评分评价

Effect of Early Cranioplasty in the Treatment of Traumatic Brain Injury and Evaluation of MMSE Score

目的 评价脑外伤早期行颅骨修补手术进行治疗的效果及对MMSE评分的改善效果。方法 于2019年1月至2020年12月在我院收治的脑外伤患者之中选取60例作为本研究的对象,按照随机抽签法进行分组,分为对照组(30例)和干预组(30例)。对照组在开颅术后晚期(6个月)行颅骨修补手术,干预组在开颅术后早期(3个月)行颅骨修补手术。对比两组的治疗效果、神经功能缺失情况(NIHSS评分)、日常的生活能力(ADL评分)、认知功能(MMSE评分)及并发症情况。结果 干预组手术治疗所取得的总有效率(96.67%)高于对照组(63.33%),差异有统计学意义(P<0.05);干预组治疗后的神经功能缺失NIHSS评分(1.52±0.33)分低于对照组的NIHSS评分(2.28±0.43)分,差异有统计学意义(P<0.05);干预组治疗后的生活能力ADL评分(69.73±11.58)分高于对照组的ADL评分(58.47±10.24)分,差异有统计学意义(P<0.05);干预组的认知功能MMSE评分(23.54±4.34)分高于对照组的MMSE评分(20.77±4.12)分,差异有统计学意义(P<0.05);干预组总并发症率6.67%低于对照组的33.33%,差异有统计学意义(P<0.05)。结论 脑外伤早期行颅骨修补手术进行治疗的效果显著,能提升治疗效果,提高患者的ADL评分与MMSE评分,提升患者术后的认知功能与日常的生活能力,改善其神经功能与生活质量,值得推广应用。

Objective To evaluate the effect of cranioplasty in the early stage of traumatic brain injury and the improvement of MMSE score.Methods From January 2019 to December 2020,60 patients with traumatic brain injury in our hospital were selected and randomly divided into control group(30 cases)and intervention group(30 cases).The treatment effect,NIHSS score,ADL score,MMSE score and complications of the two groups were compared.Results The overall effective rate of surgical treatment in the intervention group(96.67%)was higher than that in the control group(63.33%),and the difference was statistically significant(P<0.05).The NIHSS score of neurological deficit in the intervention group after treatment was(1.52±0.33)was lower than the NIHSS score of the control group(2.28±0.43),the difference was statistically significant(P<0.05);The ADL score of the intervention group after treatment was(69.73±11.58)was higher than the ADL score of the control group(58.47±10.24),the difference was statistically significant(P<0.05);The MMSE score of cognitive function in the intervention group was(23.54±4.34)was higher than the MMSE score of the control group(20.77±4.12),the difference was statistically significant(P<0.05);The total complication rate of the intervention group was 6.67%,which was lower than 33.33%of the control group(P<0.05).Conclusion The effect of cranioplasty in the early stage of traumatic brain injury is significant,which can improve the treatment effect,improve the ADL score and MMSE score of patients,improve the postoperative cognitive function and daily living ability of patients,and improve their neurological function and quality of life.