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目的观察亚低温疗法联合去骨瓣减压术治疗老年重型颅脑损伤患者的临床效果。方法选取2009年4月—2015年4月黄冈市罗田县人民医院收治的老年重型颅脑损伤患者60例,采用随机数字表法分为对照组和观察组,每组30例。对照组患者行去骨瓣减压术,观察组患者在对照组基础上采用亚低温疗法。比较两组患者术后6个月预后及术后并发症发生情况。结果观察组患者术后6个月预后优于对照组(P<0.05)。观察组患者术后癫痫、脑积水发生率低于对照组(P<0.05),而两组患者术后肺炎、颅内感染、上消化道出血发生率比较,差异无统计学意义(P>0.05)。结论亚低温疗法联合去骨瓣减压术能有效改善老年重型颅脑损伤患者预后,降低术后并发症发生率。
Objective To observe the clinical effect of sub-hypothermia combined with decompressive craniectomy on senile patients with severe traumatic brain injury. Methods Sixty elderly patients with severe craniocerebral trauma who were admitted to Luotian County People’s Hospital of Huanggang City from April 2009 to April 2015 were randomly divided into control group and observation group with 30 cases in each group. Patients in the control group underwent decompressive craniectomy. Patients in the observation group were treated with mild hypothermia on the basis of the control group. The prognosis and postoperative complications of the two groups were compared 6 months after operation. Results The prognosis of observation group was better than that of control group at 6 months (P <0.05). The incidence of postoperative epilepsy and hydrocephalus in the observation group was lower than that in the control group (P <0.05). There was no significant difference in the incidence of pneumonia, intracranial infection and upper gastrointestinal bleeding between the two groups (P> 0.05). Conclusion Mild hypothermia combined with decompressive craniectomy can effectively improve the prognosis of elderly patients with severe craniocerebral injury and reduce the incidence of postoperative complications.