急性缺血性脑卒中行大骨头瓣减压手术的临床效果分析

Analysis of the clinical effect of acute ischemic stroke use big bone flap decompression surgery

目的:观察急性缺血性脑卒中行大骨头瓣减压手术的临床效果。方法:2013年2月-2014年2月收治急性缺血性脑卒中患者60例,随机分为研究组与对照组,各30例;对照组30例予常规治疗,研究组30例在对照组基础上予大骨头瓣减压手术治疗;观察两组患者术后Barthel、NIHSS评分及血液流变学各指标水平。结果:研究组Barthel、NIHSS评分均显著优于对照组,比较差异具统计学意义(P<0.05);研究组血液流变学指标显著优于对照组,比较差异具统计学意义(P<0.05)。结论:急性缺血性脑卒中行大骨头瓣减压手术临床效果显著,具有临床应用价值。

Objective:To observe the clinical effect of acute ischemic stroke used big bone flap decompression surgery.Methods:60 patients with acute ischemic stroke were selected from February 2013 to February 2014.They were randomly divided into the research group and the control group.30 cases as the control group received conventional treatment.30 cases as the research group on the basis of the control group received large bone flap decompression surgery.The level of Barthel and NIHSS score and Hemorrheologic indexes were observed in the two groups.Result:The Barthel and NIHSS scores of the research group were significantly better than those of the control group,and the differences were statistically significant(P<0.05).The hemorheology of the research group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:There is significant clinical effect of acute ischemic stroke used big bone flap decompression surgery.It has clinical value.