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目的:探讨颅脑外伤术后继发脑梗死的临床疗效。方法:选取60例颅脑外伤术后继发脑梗死患者,随机进行分组;对照组采取高压氧疗、抗凝血、脱水降颅内压及抗痉挛等常规治疗,而观察组在常规治疗的基础上,行神经内镜血肿清除术治疗。结果:两组患者治疗后的GCS积分、Fugl-Meyer积分、ADL积分与治疗前相比均显著升高(P<0.05),但观察组的GCS积分、Fugl-Meyer积分、ADL积分升高程度显著大于对照组(P<0.05);观察组血肿清除率及功能性存活率显著高于对照组;而观察组死亡率显著低于对照组;两组患者具有显著性差异(P<0.05)。结论:在常规治疗颅脑外伤术后继发脑梗死的基础上行神经内镜血肿清除术,可显著提高患者的治疗效果及改善预后,具有临床可行性。
Objective: To investigate the clinical effect of secondary cerebral infarction after traumatic brain injury. Methods: Sixty patients with cerebral infarction after craniocerebral trauma were selected and randomly divided into groups. In the control group, conventional therapy such as hyperbaric oxygen therapy, anticoagulation, dehydration and intracranial pressure and anti-spasm was used. In the control group, Based on the endoscopic treatment of hematoma removal. Results: After treatment, GCS score, Fugl-Meyer score and ADL score were significantly increased in both groups (P <0.05), but GCS score, Fugl-Meyer score and ADL score (P <0.05). The hematoma clearance rate and functional survival rate in the observation group were significantly higher than those in the control group. The mortality rate in the observation group was significantly lower than that in the control group. There was significant difference between the two groups (P <0.05). Conclusion: The routine treatment of cerebral infarction secondary to cerebral infarction after neurosurgical hematoma removal can significantly improve the therapeutic effect and improve prognosis in patients with clinical feasibility.