摘要
目的:探讨控制性减压术对中老年重型颅脑损伤的治疗效果。方法:选取在我院就诊的75例中老年重型颅脑损伤患者作为研究对象。将其随机分为对照组(n=37)和研究组(n=38),对照组患者接受大骨瓣减压术,研究组患者接受控制性减压术,比较两组患者治疗后的并发症情况以及手术前、手术1d后以及1个月后3个阶段颅内压。结果:研究组并发症的发生率(5.26%)明显低于对照组(29.73%);术前两组患者颅内压水平无统计学意义(P>0.05),手术1天后以及1个月后,研究组患者的颅内压水平均明显优于对照组,差异具有统计学意义(P<0.05)。结论:对中老年重型颅脑损伤患者实施控制性减压术的治疗效果明显,能有效降低术后并发症的发生概率,值得临床推广。
Objective:To investigate the therapeutic effect of controlled decompression on severe craniocerebral injury in middle and old age patients.Methods:75 patients with severe craniocerebral injury in our hospital were selected as the subjects,who were randomized into the control group(n=37)and study group(n=38).Patients in the control group received large bone flap decompression;while patients in the study group received controlled decompression.Then,the complications and intracranial pressure of patients were compared before surgery,1 day and 1 month after surgeries were compared between both groups.Results:The incidence of complications in the study group was 5.26%,significantly lower than 29.73%of the control group.There was no statistical significance of intracranial pressure level before surgery between both groups(P>0.05).1 day and 1 month after surgery,the average intracranial pressure in the study group was significantly better than that in the control group,which was of statistically significant(P<0.05).Conclusion:For middle and old age patients with severe craniocerebral injury,controlled decompression can gain obvious therapeutic effect,effectively reduce the incidence of postoperative complications,and it is worthy of clinical promotion.
作者
韦刚
罗毅
蒙孟
WEI Gang;LUO Yi;MENG Meng(Dept,of Neurosurgery,Liuzhou Hospital of Traditional Chinese Medicine,Liuzhou 545001,China)
出处
《华夏医学》
CAS
2019年第4期72-75,共4页
Acta Medicinae Sinica
关键词
控制性减压术
中老年患者
重型颅脑损伤
controlled decompression
middle and old-age patients
severe craniocerebral injury
