标准大骨瓣开颅减压术治疗外伤性脑出血的安全性与应用效果评价(1)

http://www.100md.com 2018年11月5日 《中国医学创新》 2018年第31期

     【摘要】 目的：評价标准大骨瓣开颅减压术治疗外伤性脑出血的安全性与应用效果。方法：选取本院2012年1月-2017年10月收治的外伤性脑出血患者78例作为研究对象，按照随机数字表法将其分为对照组和观察组，各39例。观察组采取标准大骨瓣开颅减压术治疗，对照组采取常规骨瓣开颅减压术治疗，比较两组治疗前后的NIHSS评分、术后并发症发生情况及预后效果。结果：治疗前两组NIHSS评分比较，差异无统计学意义(P>0.05)；治疗后，观察组NIHSS评分明显低于对照组，差异有统计学意义(P<0.05)。观察组术后并发症发生率为7.69%(3/39)明显低于对照组的28.21%(11/39)，差异有统计学意义(字2=5.571，P=0.018)。随访6个月后，观察组5级良好率明显优于对照组，1级死亡率明显低于对照组，差异均有统计学意义(P<0.05)。结论：标准大骨瓣开颅减压术治疗外伤性脑出血的效果显著，即可显著改善患者的神经功能和预后，又能减少并发症，安全性高，值得应用推广。

    【关键词】 外伤性脑出血； 标准大骨瓣开颅减压术； 安全性
, 百拇医药
    【Abstract】 Objective：To evaluate the safety and application effect of standard large bone flap craniotomy decompression in the treatment of traumatic cerebral hemorrhage.Method：A total of 78 patients with traumatic cerebral hemorrhage admitted in our hospital from January 2012 to October 2017 were selected as the study objects.According to the random number table method，they were divided into control group and observation group，39 cases in each group.The observation group was treated with standard large bone flap craniotomy decompression treatment，the control group was treated with conventional bone flap craniotomy decompression. The NIHSS scores，postoperative complications and prognosis before and after treatment between the two groups were compared.Result：There was no significant difference in NIHSS score between the two groups before treatment (P>0.05)；after treatment，the NIHSS score of the observation group was significantly lower than that of the control group，the difference was statistically significant (P<0.05).The incidence of postoperative complications in the observation group was 7.69% (3/39)，which was significantly lower than 28.21% (11/39) in the control group，the difference was statistically significant (字2=5.571，P=0.018). After follow-up 6 months，the good rate of grade 5 in the observation group was significantly better than that in the control group，the mortality rate of grade 1 was significantly lower than that in the control group， the differences were statistically significant (P<0.05).Conclusion：Standard large bone flap craniotomy decompression in the treatment of traumatic cerebral hemorrhage is effective.It can not only significantly improve the neurological function and prognosis of patients，but also reduce complications and has high safety，which is worthy of application and promotion.

    【Key words】 Traumatic cerebral hemorrhage； Standard large bone flap craniotomy decompression； Safety

    First-author’s address：Taishan People’s Hospital，Taishan 529200，China, http://www.100md.com(余宇星 江俊毅 邓智锋)

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