高能量交通事故致颅脑外伤或高血压病致脑出血患者的不同颅骨修补时间治疗效果

Effect of Different Cranial Repair Time on Patients with Craniocerebral Trauma Caused by High Energy Traffic Accident or Cerebral Hemorrhage Caused by Hypertension

目的探究对高能量交通事故致颅脑外伤或高血压病致脑出血患者不同颅骨修补时间对其影响。方法随机选取2019年12月—2022年12月连云港市东方医院收治的60例高能量交通事故致颅脑外伤或高血压病致脑出血患者为研究对象,均行去骨瓣减压术,将其根据随机数表法分为对照组、观察组,各30例,两组颅骨修补术开展时间分别为去骨瓣减压术后3~6个月、1~3个月,比较两组治疗效果。结果术后3、5、7 d时,观察组疼痛评分低于对照组,差异有统计学意义(P<0.05)。术后1个月,观察组Barthel评分较对照组高,差异有统计学意义(P<0.05)。观察组并发症发生率为13.33%,与对照组的10.00%比较,差异无统计学意义(χ^(2)=0.000,P=1.000)。结论对高能量交通事故致颅脑外伤或高血压病致脑出血患者去骨瓣减压术后,早期进行颅骨修补术治疗,与晚期相比,可减轻患者术后早期疼痛程度,提升其日常生活能力,且安全性良好。

Objective To explore the influence of different cranial repair time on patients with craniocerebral trauma caused by high energy traffic accidents or cerebral hemorrhage caused by hypertension.Methods 60 patients with craniocerebral trauma caused by high energy traffic accidents or cerebral hemorrhage caused by hypertension treated in Dongdong Hospital of Lianyungang City from December 2019 to December 2022 were randomly selected as the study objects.All patients underwent decompressive craniotomy and were divided into control group and observation group according to random number table method,with 30 cases in each group.The time of cranioplasty was 3~6 months and 1~3 months after decompressive cranioplasty.The treatment effect of the two groups was compared.Results At 3 d,5 d and 7 d after operation,the pain score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).One month after surgery,the Barthel scores in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 13.33%,compared with 10.00%in the control group,the difference was not statistically significant(χ^(2)=0.000,P=1.000).Conclusion For patients with cranioplasty caused by craniocerebral trauma caused by high energy traffic accidents or cerebral hemorrhage caused by hypertension after craniotomy decompression,early cranioplasty treatment can reduce the early postoperative pain of patients and improve their daily life ability compared with the late stage,and it is safe.