标准大骨瓣开颅减压术治疗重型颅脑损伤38例疗效观察

目的 探讨标准大骨瓣开颅减压术治疗重型颅脑损伤的临床疗效.方法 选取我院收治的76例重型颅脑损伤患者,将其随机均分为对照组（常规骨瓣开颅减压术）和观察组（标准大骨瓣开颅减压术）.比较两组治疗前、后格拉斯哥（GCS）评分、痊愈率、死亡率和并发症发生率的差异.结果 治疗后3d、15d,观察组GCS评分均显著高于对照组（P＜0.05）;观察组痊愈率和死亡率均显著优于对照组（P＜0.05）;观察组并发症发生率显著低于对照组（P＜0.05）.结论 标准大骨瓣开颅减压术治疗重型颅脑损伤疗效确切,术后并发症少.

Standard large trauma craniotomy for 38 patients with severe head injury

Objective To investigate efficacy of standard large trauma craniotomy for severe head injury.Methods 76 patients with severe head injury were randomly divided into a control group（received routine craniotomy） and an observation group（received standard large trauma craniotomy）.The GCS score before and after treatment,cure rate,mortality,and incidence of complication of the two groups were compared.Results 3 and 15 days after treatment,the GCS score of the observation group were higher than that of the control group（P ＜ 0.05）.The cure rate and mortality of the observation group were better than that of the control group（P ＜ 0.05）.The incidence of complication of the observation group was lower than that of the control group（P ＜ 0.05）.Conclusions Standard large trauma craniotomy in the treatment of severe head injury is effective and has a low incidence of complication.