標(biāo)準(zhǔn)大骨瓣減壓手術(shù)治療顱腦外傷的臨床研究

《標(biāo)準(zhǔn)大骨瓣減壓手術(shù)治療顱腦外傷的臨床研究》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。

1、標(biāo)準(zhǔn)大骨瓣減壓手術(shù)治療顱腦外傷的臨床研究李凱李永奇劉明劉志強(qiáng)皖北煤電集團(tuán)總醫(yī)院【摘要】目的:研究標(biāo)準(zhǔn)大骨瓣減壓手術(shù)對(duì)顱腦外傷的臨床治療效果。方法:選取我院2012年1月~2014年1月由腦外科收治的30例顱腦損傷患者為研究對(duì)象，按照治療方法的不同分為觀察組和對(duì)照組，每組15例。對(duì)觀察組實(shí)施標(biāo)準(zhǔn)大骨瓣減壓手術(shù)療法，對(duì)照組實(shí)施常規(guī)的開(kāi)顱減壓手術(shù)治療。統(tǒng)計(jì)兩組患者在手術(shù)后的死亡率以及術(shù)后的恢復(fù)情況。結(jié)果:兩組患者在經(jīng)過(guò)不同的手術(shù)治療后，觀察組患者的恢復(fù)良好率為53.3%，遠(yuǎn)遠(yuǎn)高于對(duì)照組的13.3%；且觀察組的死亡率為6.7%，明顯低于對(duì)照組的20%，兩組患者在死亡率和恢復(fù)良好率的比較上，差異具有統(tǒng)計(jì)

2、學(xué)意義（P<0.05）。結(jié)論:對(duì)顱腦損傷的患者實(shí)施標(biāo)準(zhǔn)大骨瓣減壓術(shù)進(jìn)行治療，其臨床效果確切，能有效減少患者腦部神經(jīng)的損傷，提高患者的恢復(fù)水平，降低了死亡率、植物存活率和重度致殘率，為患者術(shù)后重建腦部功能提供了有力保障。【關(guān)鍵詞】標(biāo)準(zhǔn)大骨瓣減壓術(shù)；顱腦外傷；常規(guī)減壓法ClinicalstudyofstandardlargecraniectomyoperationinthetreatmentofcraniocerebraltraumaLiKaiLiYongqiLiuMingLiuZhiqiang(WanbeiCoalGroupGeneralHospital,AnhuiSuzhou234000)[A

3、bstract]Objective:Toobservethetherapeuticeffectofstandardlargecraniectomyoperationofcraniocerebraltrauma.Methods:inourhospitalin2012January~2014yearinJanuaryfrom30casesofcraniocerebralinjurypatientsadmittedtoDepartmentofcerebralsurgery,astheresearchobject,accordingtothedifferenttreatmentmethodsasobs

4、ervationgroupandcontrolgroup,15caseseachgroup.Theimplementationofstandardlargecraniectomyoperationtherapyfortheobservationgroup,thecontrolgroupconventionaltreatmentofcraniotomyoperationimplementation.Statisticsoftwogroupsofpatientsaftertheoperationmortalityandrecoveryafteroperation.Results:thetwogro

5、upsofpatientsafteroperationwereobservedaftertreatmentwithdifferent,goodrecoverygroupofpatientswas53.3%,farhigherthanthatofthecontrolgroupandtheobservationgroup13.3%;themortalityratewas6.7%,significantlylowerthanthecontrolgroup20%,comparedtwogroupsofpatientswithgoodrecoveryrateinmortalityratesand,the

6、differencewasstatisticallysignificant(P<0.05).Conclusion:theimplementationofstandardlargetraumacraniotomyforbraininjurypatients,theclinicaleffect,caneffectivelyreducethebraininjurypatients,improvethepatient'srecoveryrate,reducethemortalityrate,plantsurvivalrateandseveredisability,hasprovidedthepow

7、erfulsafeguardforthepostoperativepatientswithbrainfunctionreconstruction.[keyword]standardlargecraniectomy;craniocerebraltrauma;conventionaldecompressionmethod顱腦外傷的形成，是由于患者的頭部受到外部力量直接或間接地作用于頭部所致，可分為開(kāi)放