87例重症颅脑外伤患者急诊救治临床效果分析

Analysis of curative effects of the emergency treatment for the patients with severe traumatic brain injury

目的探讨重症颅脑损伤患者的急诊救治措施。方法将174例重度颅脑损伤患者随机分成对照组和观察组各87例。对照组采用常规急诊救治措施,观察组进行综合急救治疗。比较治疗前与治疗3、7d后2组患者脑血流(Vm、PI、RI)变化,比较2组预后。结果治疗后第3、7天2组患者脑血流供应均有一定改善,其中观察组Vm、PI显著高于对照组,而RI显著低于对照组,P<0.05。治疗3个月后,观察组生存率显著高于对照组,P<0.05;观察组ADL分级为Ⅰ级和Ⅱ级的比例显著高于对照组,为Ⅳ级显著低于对照组,P<0.05。结论采用综合的急诊救治措施治疗重症颅脑外伤患者能有效提高生存率并改善预后。

Objective To investigate the curative effects of the emergency treatment for the patients with severe traumatic brain injury .Methods 174 patients with severe traumatic brain injury were randomly divided into the control group (n=87 , treated with conventional emergency treatment) and observation group (n=87 ,treated with comprehensive emergency treat-ment) .The Vm ,PI and RI changes and prognosis of two groups before treatment and 3 ,7 d after treatment were compared . Results The Vm and PI of observation group were higher than these of control group ,but RI was lower than that of control group 3 and 7 d after treatment ;the survival rate and ADL Ⅰ and Ⅱ classification of observation group were higher than these of control group ,but ADL Ⅳ classification was lower than that of control group 3 months after treatment .Conclusion Com-prehensive emergency treatment can effectively improve the survival rate and the prognosis of patients with severe traumatic brain injury .