论文部分内容阅读
目的综合评价早期脑室—腹腔分流术和颅骨修补术治疗脑外伤临床效果,为治疗重症颅脑损伤(TBI)去骨瓣术后合并脑积水患者提供科学依据。方法选取在宝应县人民医院2012年11月—2015年12月收治的TBI去骨瓣术后合并脑积水患者52例作为研究对象,按照入院顺序随机分为试验组与对照组,每组26例。对照组择期先进行早期脑室—腹腔分流术,2~5个月后择期进行颅骨修补术;试验组同时应用早期脑室—腹腔分流术+颅骨修补术。比较试验组与对照组患者治疗前后的GCS(格拉斯哥昏迷)评分、优良率以及并发症发生率。结果治疗后试验组GCS评分高于对照组(P<0.05);试验组预后评分优于对照组(P<0.05);试验组优良率高于对照组(P<0.05);试验组并发症发生率低于对照组(P<0.05)。结论早期脑室—腹腔分流术和颅骨修补术治疗TBI去骨瓣术后合并脑积水患者效果较好。
Objective To evaluate the clinical effect of early ventricle-peritoneal shunt and skull repair in the treatment of traumatic brain injury and provide a scientific basis for the treatment of patients with hydrocephalus after craniocerebral injury (TBI). Methods Fifty-two patients with hydrocephalus after TBI debridement treated in Baoying County People’s Hospital from November 2012 to December 2015 were selected as study subjects and randomly divided into experimental group and control group according to admission sequence example. In the control group, the early ventricular-peritoneal shunting was performed first and the cranial repair was performed after 2 to 5 months. In the experimental group, early ventricular-abdominal shunting plus cranial repair was also performed. The GCS (Glasgow Coma) score, excellent rate and complication rate were compared between the experimental group and the control group before and after treatment. Results The GCS score of the experimental group was significantly higher than that of the control group (P <0.05). The prognosis score of the experimental group was better than that of the control group (P <0.05). The excellent and good rate of the experimental group was higher than that of the control group (P <0.05) The rate was lower than that of the control group (P <0.05). Conclusion Early intraventricular-peritoneal shunt and cranial repair of TBI debridement combined with hydrocephalus in patients with better results.