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目的探究与分析大骨瓣减压治疗重型颅脑损伤的临床疗效。方法选取医院自2012年7月-2014年7月收治的重型颅脑损伤患者60例,采取随机数字表法分为对照组和试验组各30例,对照组给予常规去骨瓣减压术治疗,试验组给予标准去骨瓣减压术治疗,观察与对比2组患者的临床疗效及并发症。结果试验组良好、中残及重残的患者数明显多于对照组,植物生存及死亡的患者数明显少于对照组(P<0.05);试验组总并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论对于重型颅脑损伤的患者采用标准大骨瓣减压术治疗可取得显著的临床疗效,术后脑梗死等并发症发生率较低,安全性较高,值得推广。
Objective To investigate and analyze the clinical effect of decompressive craniectomy on severe craniocerebral injury. Methods Sixty patients with severe craniocerebral injury who were admitted to our hospital from July 2012 to July 2014 were randomly divided into control group and trial group, 30 cases in each group. The control group was given conventional decompressive craniectomy The experimental group was treated with standard decompressive craniectomy. The clinical efficacy and complications of the two groups were observed and compared. Results The number of patients with good, moderate and severe disability in the experimental group was significantly more than that of the control group, and the number of patients with plant survival and death was significantly less than that of the control group (P <0.05). The overall complication rate in the experimental group was significantly lower than that in the control group, The difference was statistically significant (P <0.05). Conclusions The treatment of severe craniocerebral injury with standard decompressive craniectomy can achieve significant clinical effects. The incidence of postoperative complications such as cerebral infarction is lower and the safety is higher, which is worthy of popularization.