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目的探索改良标准外伤大骨瓣减压术治疗重型颅脑损伤的临床疗效。方法就诊的重型颅脑损伤患者78例,按入院顺序随机分组治疗组40例,对照组38例;其中治疗组采用改良标准外伤大骨瓣减压术治疗,对照组采用标准外伤大骨瓣减压术治疗。术后两组患者第1、3、7、10天的Glasgow昏迷评分,以及随诊6月后生存状态。结果两组患者在第7、10天治疗前后的Glasgow昏迷评分比较具有统计学差异P<0.05;两组患者治疗后第10天组间比较具有统计学差异P<0.05。结论改良的标准外伤大骨瓣减压术治疗重型颅脑损伤的临床疗效确定,值得临床推广。
Objective To explore the clinical effect of modified standard traumatic big bone flap decompression in the treatment of severe craniocerebral injury. Methods A total of 78 patients with severe craniocerebral injury were randomly divided into treatment group (n = 40) and control group (n = 38). The treatment group was treated with modified standard trauma and large bone flap decompression. The control group Pressure surgery. Postoperative Glasgow coma scores on the 1st, 3rd, 7th and 10th days of the two groups were compared with those after 6 months. Results The Glasgow coma scores of the two groups before and after treatment on the 7th and 10th days were statistically significant (P <0.05). There was a statistically significant difference between the two groups on the 10th day after treatment (P <0.05). Conclusion The modified standard traumatic big bone flap decompression for the treatment of severe craniocerebral injury is of clinical efficacy, worthy of clinical promotion.