摘要
摘要目的分析急性重型颅脑损伤患者手术治疗效果及其术后并发症情况,为临床工作者提供参考.方法回顾分析自２０１３年６月至２０１５年６月期间,我院收治的６０例急性重型颅脑损伤患者的临床资料.按入院先后顺序将患者分为观察组(n＝３０)和对照组(n＝３０),观察组患者接受标准大骨瓣开颅减压手术治疗,对照组患者接受常规性骨瓣开颅减压手术治疗.采用格拉斯哥昏迷评分(GCS)对治疗效果进行评价并观察患者并发症情况.结果观察组疗效优于对照组(P＜０．０５),观察组治疗良好１３例,治疗良好率为４３．３３％,对照组治疗良好６例,治疗良好率为２０．００％.观察组患者术后并发症发生率低于对照组(P＜０．０５).结论对于急性重型颅脑损伤的患者采用标准大骨瓣开颅减压手术治疗效果比常规性骨瓣开颅减压手术更佳.关键词急性重型颅脑损伤;标准大骨瓣开颅减压术;常规性骨瓣开颅减压术Abstractobjectivetoanalyzetheeffectofsurgicaltreatmentforpatientswithacuteseverecraniocerebralinjuryandpostoperativecomplications,providereferenceforclinicalworkers．MethodsretrospectiveanalysisfromJune２０１３toJune２０１３,ourhospitaloftheclinicaldataof６０casesofpatientswithacuteseＧverecraniocerebralinjury．Patientsaccordingtoadmissionorderdividedintoobservationgroup(n＝３０)andcontrolgroup(n＝３０),theobservationgrouppaＧtientsreceivedstandardbigboneflapcraniotomysurgeryfordecompressionandthecontrolgrouppatientsreceivedroutineboneflapcraniotomydecompressionsurgery．TheGlasgowcomascale(GCS)toevaluatethetherapeuticeffectandcomplicationswereobserved．Resultstheobservationgroupcurativeeffectisbetterthanthatofcontrolgroup(P＜０．０５),１３casesofobservationgrouptreatmentgood,goodtreatmentratewas４３．３３％,thecontrolgroupintreatmentof６cases,goodgoodtreatmentrateof２０．００％．Observationgroupofpatientswithpostoperativecomplicationrateislowerthanthecontrolgroup(P＜０．０５)．ConclusioninpatientswithacuteseverecraniocerebralinjurywithastandardbigboneflapcraniotomydecompressionsurgerytreatmenteffectisbetterthantheconventionalboneflKaepycwraonridostomydecompressionsurgery．Acuteseverecraniocerebralinjury;Standardbigboneflapcraniotomydecompression;Normalboneflapcraniotomydecompression中图分类号R６５１文献标识码B文章编号１００１－５３０２(２０１５)０９－０６３５－０２
出版日期
2015年09月19日（中国期刊网平台首次上网日期，不代表论文的发表时间）
