摘要
目的总结超低位大骨瓣开颅颞肌下减压术辅助亚低温在重型颅脑创伤伴脑疝患者中的应用价值。方法按随机原则，将重型颅脑创伤伴脑疝患者88例分成研究组48例，对照组40例，两组病例手术方法均采用超低位大骨瓣开颅颞肌下减压术，术后研究组辅以亚低温治疗。术后对两组病例的GCS评分、脑池显示率、瞳孔回缩率和治疗结果进行监测和分析。结果术后GCS评分、脑池显示率、瞳孔回缩率和治疗结果等指标，研究组与对照组差异有统计学意义（P〈0．05）。结论超低位大骨瓣开颅颞肌下减压，能有效缓冲重型颅脑创伤伴脑疝患者颅内压，同时辅助亚低温治疗，有利于降低脑氧消耗、减轻脑水肿和促进神经功能的恢复，在重型颅脑创伤伴脑疝患者中应用具有重要的临床应用价值。
Objective To investigate cranial decompression under temporal muscle in very-low position with large bone flap combined with mild hypothermia for severe cranial trauma. Methods 88 severe brain injury patients （GCS ≤ 8 ） were randomly divided into two groups, mild hypothermia group （n =48 ） and non-mild hypothermia group （ n = 40 ）, both presented with cranial decompression under temporal muscle in very-low position with large bone flap. Data of patients ,GCS increment, rate of brain cistern display, rate of pupil shrink and therapeutic effect were anan- lyzed. Results The treatment group showed better effect compared with the control group （ P 〈 0. 05 ）. Conclusion The therapy of cranial decompression under temporal muscle in very-low position with large bone flap combined with mild hypothermia showed the advantage of depressing intracranial pressure, reducing crerebral edema and improving the therapeutic effect of severe brain injury patients.
出处
《中国基层医药》
CAS
2012年第9期1316-1317,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
颅脑损伤
减压术
外科
亚低温
人工
Traumatic brain injury
Hernia
Decompression ,Surgical
Hypothermia,Induced
