控制性减压术对重度颅脑损伤后脑梗死的防治效果

目的探讨控制性减压术对重度颅脑损伤后脑梗死的防治效果。方法研究对象选取2012-05—2016-03我院诊治的86例重度颅脑损伤患者,以入院先后编号,采用随机简单抽样的方式纳入观察组和对照组,每组43例。观察组给予控制性减压术治疗,对照组给予大骨瓣减压术治疗,术后随访6个月,观察2组术后脑梗死发生率、颅内压、Barthel指数、GOS评分。结果观察组颅内压、脑梗死发生率明显低于对照组,差异有统计学意义(t=5.442,χ2=4.745,P0.05);Barthel指数、GOS评分均显著高于对照组(t=4.882、4.961,P0.05)。结论相比传统标准大骨瓣减压术,控制性减压术治疗重度颅脑损伤效果更佳确切,在减少术后颅内压和脑梗死的同时,利于患者脑功能恢复,提高患者生活自理能力。

The prevention and cure effect of controlled decompression treatment on severe craniocerebral injury with cerebral infarction

Objective To investigate the effect of controlled decompression treatment on severe craniocerebral injury with cerebral infarction.Methods From May 2012 to Mar.2016,86 cases of severe craniocerebral injury patients in our hospital were selected as research subjects.The patients were randomly divided into the observation group and the control group,with 43 cases in each group.The control group was treated by decompressive craniectomy and the observation group was treated by controlled de-compression.All patients were followed up for 6 months.The incidence of cerebral infarction,intracranial pressure,Barthel index and GOS score of patients in two groups were observed.Results Intracranial pressure and cerebral infarction incidence of observa-tion group were significantly lower than those in the control group (t=5.442,χ2=4.745,P<0.05).Barthel index and GOS scores were significantly higher than those in the control group (t=4.882,4.961,P<0.05).Conclusion Compared to traditional decompressive craniectomy,controlled decompression is better in reducing postoperative intracranial pressure and cerebral infarc-tion,restoring the brain function of patients and improving the self-care ability of patients.