重症颅脑损伤及合并伤的急诊救治方法与治疗结局观察

Emergency treatment and treatment outcomes of severe craniocerebral injury and combined injuries

目的观察重症颅脑损伤及合并伤的急诊救治方法与治疗结局。方法选取医院收治的重症颅脑损伤及合并伤患者76例为研究对象,随机分为观察组和对照组,每组38例。对照组给予非手术方法治疗,观察组在对照组基础上给予手术方法治疗,比较2组患者治疗优良率、并发症发生率(休克、高钠血症、肺部感染)、病死率及生存质量评分。结果观察组治疗优良率为97. 37%,高于对照组的78. 95%(P <0. 05);观察组并发症发生率为2. 63%、病死率为0%,低于对照组的18. 42%、10. 53%(P均<0. 05);治疗后,2组生存质量评分较治疗前均升高,且观察组升高幅度大于对照组(P均<0. 01)。结论对于重症颅脑损伤及合并伤患者而言以手术治疗方法最佳,通过院外急救及院内手术相结合起到挽救患者生命的作用,对降低病死率具有积极作用。

Objective To observe the emergency treatment and treatment outcome of severe craniocerebral injury and combined injury.Methods Seventy-six patients with severe craniocerebral injury and combined injuries were selected and randomly divided into observation group and control group,38 cases in each group.The control group was treated with nonsurgical methods,and the observation group was treated with surgery on the basis of the control group.The excellent rate of treatment,complications(including shock,hypernatremia,pulmonary infection),mortality,and quality of life were compared between the two groups.Results The excellent and good rate of treatment in the observation group was 97.37%,which was higher than that in the control group(78.95%,P<0.05).The complication rate of the observation group was 2.63%and the case fatality rate was 0%,which was lower than 18.42%and 10.53%of the control group(P<0.05).After treatment,the quality of life scores of the two groups were higher than those before treatment,and the increase of the observation group score was greater than that of the control group(P<0.01).Conclusion Surgical treatment is the best for emergency treatment of patients with severe craniocerebral injury and combined injuries.The combination of out-of-hospital first-aid and in-hospital surgery can effectively save patients’lives and have a positive effect on reducing patient mortality.