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目的分析标准大骨瓣开颅减压术治疗重型颅脑损伤的临床效果。方法 121例重型颅脑损伤患者,依据随机数字分组法分为观察组(61例)和对照组(60例)。观察组给予标准大骨瓣开颅减压术治疗,对照组给予常规骨瓣开颅减压术治疗,比较两组临床效果。结果两组术前颅内压比较差异无统计学意义(P>0.05),观察组术后1、3、7 d颅内压均低于对照组,差异有统计学意义(P<0.05)。观察组存活率(88.52%)高于对照组(65.00%),差异有统计学意义(P<0.05)。结论标准大骨瓣开颅减压术治疗重型颅脑损伤的临床效果较佳,术后颅内压明显降低,存活率高,预后良好,值得在临床中大力推广。
Objective To analyze the clinical effect of standard craniotomy decompression for the treatment of severe craniocerebral injury. Methods 121 cases of severe craniocerebral injury patients were divided into observation group (61 cases) and control group (60 cases) according to random number grouping method. The observation group was treated with standard craniotomy decompression, while the control group was given craniotomy decompression. The clinical effects were compared between the two groups. Results There was no significant difference in the preoperative intracranial pressure between the two groups (P> 0.05). The intracranial pressure of the observation group was lower than that of the control group on the 1st, 3rd, 7th day after operation. The difference was statistically significant (P <0.05). The survival rate of the observation group (88.52%) was higher than that of the control group (65.00%), the difference was statistically significant (P <0.05). Conclusion The standard craniotomy decompression for the treatment of severe craniocerebral injury has a better clinical effect, postoperative intracranial pressure was significantly reduced, high survival rate, the prognosis is good, it is worth promoting in the clinic.