摘要
目的探讨大骨瓣开颅减压术治疗大面积脑梗死的临床疗效。方法将54例大面积脑梗死患者按家属治疗意愿分为保守治疗组29例（保守组）和手术治疗组25例（手术组），保守组给予常规内科治疗，手术组采用大骨瓣开颅减压术治疗，治疗后随访6个月，观察两组患者的疗效。结果手术组25例患者中恢复良好5例，轻残12例，死亡6例；保守组恢复良好2例，轻残4例，死亡17例，两组比较差异有统计学意义（P〈0．05）；两组治疗后NIHSS、ADL评分比较差异均有统计学意义（P〈0，05）；保守组平均住院时间显著短于手术组（P〈0．05）。结论大骨瓣开颅减压术是治疗大面积脑梗死的有效方法，可明显降低患者的病死率，改善预后，提高生存质量。
Objective To investigate the therapeutic effect of large trauma craniotomy on massive cerebral infarction. Methods Fifty-four patients with massive cerebral infarction were divided into operation group（25 cases） and conservative group（29 cases）, patients in conservative group were given the conservative treatment, while patients in operation group were given large trauma craniotomy treatment, the patients were followed up for 6 months and the clinical efficacy of both groups were observed. Results After treatment, among the 25 cases in operation group, there were 5 cases with good recovery, 12 cases with light disability and 6 cases with deaths. In conservative group, there were 2 cases with good recovery, 4 cases with light disability and 17 cases with deaths, there were significant differences between the two groups（P 〈 0. 05）. After treatment, The NIHSS score and ADL score had significant differences between the two groups （ P 〈 0. 05 ）. In conservative group, the time of hospitalization was significantly shorter than that of operation group （ P 〈 0. 05 ）. Conclusions Large trauma craniotomy is an effective method to treat massive cerebral infarction, and it can reduce the mortality and improve the prognosis of patients.
出处
《中国实用医刊》
2013年第13期26-27,共2页
Chinese Journal of Practical Medicine
关键词
脑梗死
大骨瓣减压术
疗效
Cerebral infarction
Large trauma craniotomy
Effect
