标准大骨瓣减压术和常规骨瓣开颅术在重症颅脑损伤患者中的应用效果及对患者神经功能的影响

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Abstract ObjectiveTo efficacy of standard large trauma craniotomy and routine craniotomy in patients with severe craniocerebral injury and influence on neurological function.Methods60 cases of severe TBI patients admitted to our hospital from January 2015 to June 2016 were selected and divided into observation group and control group according to random number table,each with a total of 30 cases.The control group was treated with conventional craniotomy,while the observation group was treated with standard large decompressivecraniectomy.The therapeutic effects of the two groups were compared.ResultsThe rate of favorable prognosis in the observation group(50.0%)was higher than that in the control group(30.0%),the difference was significant(P＜0.05);the two groups preoperative neurological function score no significant difference after operation were significantly decreased,compared with the preoperative,the difference was statistically significant(P＜0.05);after 1 month and 2 months,the neurological function score in observation group[(19.6±2.3), (11.6±1.2)scores]were significantly lower than those in the control group[(29.7±2.9),(19.7±1.9)scores],comparison between groups,the difference was statistically significant(P＜0.05);The complication rate of the observation group was 6.67%,which was significantly lower than that of the control group(23.33%),the difference was statistically significant(P＜0.05).ConclusionThe standard large bone flap decompression for the treatment of severe TBI has a more significant effect,not only can reduce intracranial pressure,but also can improve the neurological function,reduce the incidence of complications,to protect the safety of the operation.

Key words： Standard large trauma craniotomy Routine craniotomy Craniocerebral injury Neurological function

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	HUANG Yi-ping
	WEI Er-jia

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HUANG Yi-ping,WEI Er-jia. Efficacy of standard large trauma craniotomy and routine craniotomy in patients with severe craniocerebral injury and influence on neurological function[J]. 中国当代医药, 2017, 24(13): 54-56.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I13/54

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