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目的:探讨对重型颅脑损伤患者行标准大骨瓣减压治疗的临床效果。方法:将2012年1月～2017年1月我院收治的52例重型颅脑损伤患者作为研究对象,根据治疗方法的不同分为研究组和参照组,各25例。参照组行常规骨瓣减压治疗,研究组行标准大骨瓣减压治疗,观察并比较两组治疗效果、神经功能缺损(NIHSS)评分以及日常生活能力(ADL)评分的变化情况。结果:研究组的治疗有效率24例(96.00%)显著高于参照组18例(72.00%),两组治疗前的ADL评分和NIHSS评分均无显著差异(P>0.05),治疗后研究组的ADL评分和NIHSS评分均优于参照组,P<0.05为差异具有统计学意义。结论:对重型颅脑损伤患者行标准大骨瓣减压治疗,不仅能够在一定程度上提高患者的治疗效果,同时,还能够改善患者的日常生活能力。
Objective: To investigate the clinical effect of standard decompressive craniectomy on patients with severe craniocerebral injury. Methods: From January 2012 to January 2017, 52 cases of severe craniocerebral injury admitted to our hospital were studied. According to the different treatment methods, the study group was divided into study group and reference group, with 25 cases in each group. The patients in the reference group were given standard decompressive decompression. The study group was treated with standard decompressive craniectomy. The therapeutic effects, NIHSS score, and ADL score of the two groups were observed and compared. Results: The effective rate of treatment in study group was significantly higher than that of the reference group (96.00%) in 18 cases (72.00%). There was no significant difference between pretreatment ADL score and NIHSS score (P> 0.05) ADL score and NIHSS score were better than the reference group, P <0.05 for the difference was statistically significant. Conclusion: The treatment of severe craniocerebral injury patients with standard large flap decompression not only can improve the therapeutic effect of patients to a certain extent, but also improve the patients’ daily living ability.