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目的分析早期颅骨修补联合脑室腹腔分流术对脑外伤患者肢体功能恢复及并发症的影响。方法选取84例脑外伤患者,均于3个月前实施开颅血肿清除术,按随机数表法分为两组,每组42例。对照组先实施脑室腹腔分流术,3~6个月后实施颅骨修补术,观察组采用早期颅骨修补术联合脑室腹腔分流术治疗。比较两组肢体功能恢复及并发症情况。结果治疗后,观察组简式运动功能(Fugl-Meyer)评分、日常生活能力评分(ADL)均明显高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论给予脑外伤患者早期颅骨修补术联合脑室腹腔分流术效果较好,可促进患者肢体功能恢复,提高日常生活能力,降低并发症发生率,具有临床推广价值。
Objective To analyze the effect of early skull repair combined with ventriculoperitoneal shunt on limb functional recovery and complications in patients with traumatic brain injury. Methods Totally 84 patients with traumatic brain injury were enrolled in this study. Craniotomy was performed 3 months earlier and divided into two groups according to the random number table (n = 42). In the control group, intraperitoneal shunting was performed first, and skull repair was performed after 3 to 6 months. The observation group was treated with early skull repair combined with intracerebroventricular shunt. The functional recovery and complications of the two groups were compared. Results After treatment, Fugl-Meyer score and ADL score in the observation group were significantly higher than those in the control group (P <0.05), and the complication rate in the observation group was significantly lower In the control group, the difference was statistically significant (P <0.05). Conclusions The early cranioplasty combined with intracerebroventricular shunt in patients with traumatic brain injury is more effective, which can promote the recovery of limb function, improve the daily living ability and reduce the incidence of complications, and has clinical value of popularization.