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目的:探讨改良去骨瓣减压术在治疗颅脑损伤患者中的效果。方法:随机选取惠州市龙门县人民医院2010年3月至2016年12月收治的颅脑损伤患者120例,按照双盲法将患者分为研究组和对照组,对照组使用传统去骨瓣减压术进行治疗,研究组使用改良去骨瓣减压术进行治疗,对比分析两组患者治疗效果、并发症发生情况和格拉斯哥昏迷评分法(GCS)。结果:治疗后,研究组的治疗效果均明显优于对照组,差异具有统计学意义(P<0.05),研究组患者并发症发生率为36.67%,对照组患者并发症发生率61.66%,组间比较,差异具有统计学意义(P<0.05),在不同组别患者GCS评分对比中,研究组GCS评分高于对照组,差异具有统计学意义(P<0.05)。结论:改良去骨瓣减压术在治疗颅脑损伤患者中的效果较好。
Objective: To explore the effect of modified decompressive craniectomy in patients with craniocerebral injury. Methods: A total of 120 patients with craniocerebral injury were randomly selected from Longmen County People’s Hospital of Huizhou City from March 2010 to December 2016. The patients were divided into study group and control group according to double-blind method. The control group was treated with traditional deboned flap reduction The patients in the study group were treated with modified decompressive craniectomy. The treatment effect, complication and Glasgow Coma Scale (GCS) were compared between the two groups. Results: After treatment, the treatment effect of the study group was significantly better than that of the control group, the difference was statistically significant (P <0.05), the incidence of complications in the study group was 36.67%, the incidence of complications in the control group was 61.66% (P <0.05). Among the GCS scores of different groups, GCS score of the study group was higher than that of the control group, the difference was statistically significant (P <0.05). Conclusion: The modified decompressive craniectomy is effective in the treatment of patients with craniocerebral injury.