摘要
目的探讨神经外科危重颅脑外伤的临床治疗效果。方法选取本院2010年1月~2014年12月行手术治疗的120例危重颅脑外伤患者作为研究对象,随机分为对照组与观察组,各60例。对照组给予常规开颅减压术治疗,观察组给予大骨瓣开颅减压术治疗。比较两组治疗前后的格拉斯哥昏迷评分以及治疗后的生活活动能力评级。结果观察组治疗后的格拉斯哥昏迷评分及治疗总有效率显著高于对照组,差异有统计学意义（P〈0.05）。观察组治疗后的生活活动能力明显优于对照组,差异有统计学意义（P〈0.05）。结论尽早进行大骨瓣开颅减压术治疗可以显著提高危重颅脑外伤患者的治疗效果,改善其临床症状,增强其生活活动能力,值得临床推广应用。
Objective To explore the clinical therapy effect of neurosurgery severe craniocerebral trauma. Methods 120 cases of severe craniocerebral trauma from January 2010 to December 2014 in our hospital were selected and randomly divided into the control group and the observation group,60 patients in each group.The control group was given routine cranioctomy,the observation group was given large bone flap cranioctomy decompression.Glosgow coma score before and after treatment and activity of daily living after treatment in two groups was compared. Results The Glasgow coma score and the total effective rate in the observation group after treatment was higher than that in the control group,with significant difference（P0.05）.The activity of daily living after treatment in the observation group was better than that in the control group,with significant difference（P 0.05）. Conclusion Early treatment of large bone flap cranioctomy decompression can significantly improve the treatment effect of patients with severe craniocerebral trauma and the clinical symptoms,enhance the activity of daily living of patients,it is worthy of clinical promotion and application.
出处
《中国当代医药》
2015年第28期42-43,46,共3页
China Modern Medicine
关键词
神经外科
危重颅脑外伤
大骨瓣开颅减压术
Neurosurgery
Severe craniocerebral trauma
Large bone flap cranioctomy decompression
