研究颅底骨折脑挫伤合并颌面部挫裂伤的急诊救治措施

To Study the Emergency Treatment of Craniofacial Fractures with Brain Contusion and Maxillofacial Contusion and Laceration

目的对颅底骨折脑挫伤合并颌面部挫裂伤患者实施不同的急诊救治措施,探究不同急诊救治措施的救治效果。方法选取我院2016年1-12月收治的30例颅底骨折脑挫伤合并颌面部挫裂伤患者作为研究对象,利用奇偶数随机分组法分为对照组15例和观察组15例。对照组采用常规的救治方式,观察组采用一体化的急诊救治方式,对比两组在各项救治指标、抢救成功率以及预后质量评分的情况。结果在各项基本救治指标方面,观察组均要明显优于对照组,差异有统计学意义(P<0.05);在抢救成功率方面,对照组和观察组都比较高,差异无统计学意义(P>0.05);在预后质量评分方面,观察组总体上与对照组差异有统计学意义(P<0.05)。结论一体化的急诊救治措施应用于颅底骨折脑挫伤合并颌面部挫裂伤患者的救治中,救治流程更加规范、快速,抢救成功率比较高,同时患者预后质量也较高。

Objective To explore the emergency treatment measures for patients with skull base fracture, brain contusion combined with maxillofacial contusion and laceration, and to explore the effects of different emergency measures. Methods 30 cases of skull base fracture, contusion of brain and maxillofacial contusion and laceration were treated in our hospital from January 2016 to December 2016. The subjects were divided into 1 groups, 15 cases in the control group and 15 cases in the observation group. The control group was treated with conventional treatment, the observation group was treated with an integrated emergency treatment, and compared the two groups in the treatment index, rescue success rate and prognosis quality score. Results In the basic indicators of the treatment, the observation group were significantly better than the control group, the difference was statistically significant(P<0.05); the success rate of rescue, the observation group and the control group were higher, the difference was not statistically significant(P>0.05); prognosis in terms of quality score in the observation group and the control group there were significant differences. There was statistical significance(P<0.05). Conclusion Emergency treatment measures in the application integration of basicranial fracture complicated with maxillofacial contusion and laceration of brain contusion patients in treatment, treatment process more standardized, fast, the success rate is relatively high, and the prognosis is of high quality.