摘要
目的:对相继双侧去大骨瓣减压治疗弥漫性脑肿胀临床效果和安全性进行分析。方法:选取2009年12月~2012年12月我院收治弥漫性脑肿胀患者1200例,随机分为2组,甲组患者600例,采用传统单侧去大骨瓣减压治疗;乙组患者600例,采用双侧去大骨瓣减压治疗,对比2组患者的临床治疗效果。结果:乙组患者的临床治疗效果显著优越于甲组患者,差异性显著,具有统计学意义(P<0.05)。乙组患者病死率、致残率显著优越于甲组患者,差异性显著,具有统计学意义(P<0.05)。2组患者住院治疗时间对比无显著性差异,无统计学意义(P>0.05)。2组患者均为发生因治疗导致严重后果发生。结论:采用相继双侧去大骨瓣减压治疗弥漫性脑肿胀可显著提高患者的临床治疗效果、降低术后病死率、致残率,安全性较高,可依据患者的情况进行应用治疗。
Objective：To analyze the clinical efficacy and safty of successionly bilateral removing hemicraniectomy decompression treatment for diffuse brain swelling. Methods： 1200 cases of diffuse brain swelling patients admitted in our hospital between Dec. 2009 and Dec. 2012 were divided radomly into two groups. 600 cases of patients in Group A received traditional unilateral removing hemicraniectomy decompression treatment, while the 600 cases of patients in Group B received successionly bilateral removing hemicraniectomy treatment. The comparison of clinical efficacy between the two groups was made. Results：The clinical efficacy of paients in Group B was significandy better than paients in Group A, the difference was statistically significant （P 〈 0.05 ）. The mortality and morbidity of the patients in Group B was significantly better than Group A, the difference was statistically significant （ P 〈 0.05 ）. The hospitalization time between the two groups had no difference, the difference was not statistically significant （ P 〉 0.05）. All the patients in the two groups didn＇t have any serious consequences due to the treatment. Con^lusion：Successionly bilateral removing hemicraniectomy decompression treatment for diffuse brain swelling can significantly improve the clinical efficacy and decrease the mortality and morbidity of the patients after the surgery. It is safe and can apply based on the actual situation of the patients.
出处
《中国伤残医学》
2013年第9期7-8,共2页
Chinese Journal of Trauma and Disability Medicine
