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目的:研究临床应用大骨瓣开颅减压术治疗对冲性颅脑损伤的效果。方法:选择2014年7月-2017年8月本院对冲性颅脑损伤患者82例,随机抽签分为观察组、对照组各41例,后组接受骨瓣开颅手术治疗,前组接受大骨瓣开颅减压术治疗,比较两组效果。结果:观察组手术后1天、手术后3天、手术后1周颅内压均低于对照组;观察组术后预后清醒、轻度意识障碍、中度意识障碍、昏迷分别占56.1%、24.39%、19.51%、0%,对照组分别占39.02%、9.76%、36.59%、14.63%;观察组并发症发生率为7.32%,对照组并发症发生率24.39%。结论:对冲性颅脑损伤临床治疗中应用大骨瓣开颅减压术能够减少并发症,改善预后,可在临床推广应用。
Objective: To study the clinical effect of craniotomy decompression for the treatment of hemorrhagic head injury. Methods: From July 2014 to August 2017, 82 patients with hemorrhagic head injury in our hospital were randomized into observation group and control group with 41 cases in each group. The latter group received craniotomy for craniotomy. The former group received large Craniotomy craniotomy treatment, the two groups were compared. Results: The intracranial pressure of the observation group was lower than that of the control one day after operation, three days after operation and one week after operation. The observation group had a good prognosis, mild disturbance of consciousness, moderate disturbance of consciousness and coma, accounting for 56.1% 24.39%, 19.51% and 0% respectively. The control group accounted for 39.02%, 9.76%, 36.59% and 14.63% respectively. The complication rate in the observation group was 7.32% and that in the control group was 24.39%. Conclusion: The treatment of hemorrhagic craniocerebral injury in the treatment of large craniotomy decompression can reduce complications and improve prognosis, which can be popularized in clinical application.