摘要
目的探讨大骨瓣减压并颞肌贴敷术治疗大面积脑梗死的临床疗效。方法将64例大面积脑梗死患者按治疗方法随机分为对照组和手术组各32例,对照组给予常规内科治疗,手术组采用大骨瓣减压并颞肌贴敷术治疗,治疗后随访6个月,观察2组临床疗效。结果手术组恢复良好6例,轻残15例,死亡8例;对照组恢复良好2例,轻残5例,死亡18例,2组比较差异有统计学意义(P<0.05);2组治疗后NIHSS、BI评分比较差异均有统计学意义(P<0.05)。结论大骨瓣减压并颞肌贴敷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 explore the curative effect of large trauma craniotomy and roofing of temporal muscle in treatment of massive cerebral infarction.Methods Totally 64 patients with massive cerebral infarction were divided into operation group and control group,each group of 32 cases.Control group was given the conservative treatment,while operation group was given large trauma craniotomy and roofing of temporal muscle treatment.All patients were followed up 6 months and the clinical efficacy of two groups was evaluated.Results After treatment,in 32 cases of operation group,6 cases with good recovery,15 cases with light disability and 8 cased died;in control group,2 cases with good recovery,5 cases with light disability and 18 cases died,there was statistically significant difference between the two groups（P〈0.05）.The NIHSS score and BI score were statistically significant difference between the two groups（P〈0.05）.Conclusion Large trauma craniotomy and roofing of temporal muscle is an effective method for massive cerebral infarction,and can reduce the mortality and improve the prognosis of patients.
出处
《中国实用神经疾病杂志》
2013年第4期19-21,共3页
Chinese Journal of Practical Nervous Diseases
关键词
脑梗死
大骨瓣减压术
颞肌贴敷术
Cerebral infarction
Large trauma craniotomy
Roofing of temporal muscle
