98例急性颅脑损伤手术治疗体会

目的：分析和探讨急性颅脑损伤患者通过手术方法进行治疗的临床效果。方法：将2011年3月-2013年3月收治的196例患者作为观察对象,所有患者经影像学检查明确诊断,将患者随机分为观察组98例和治疗组98例。其中治疗组通过开颅手术治疗,手术全程都采取全身麻醉,具体手术方式由患者外伤情况决定。观察组采取传统内科治疗方式,包括脱水降颅压、抗感染、营养支持等综合治疗。遵照格拉斯哥预后评分（GOS）进行治疗效果判定。结果：所有患者经过有效的治疗后,治疗组总有效率为81．63％,植物人及死亡率为3．06％,观察组总有效率为63．27％,植物人及死亡率为11．22％。治疗组的治疗效果明显好于观察组,两组比较差异有统计学意义（P〈0．05）。结论：对于急性颅脑损伤的患者及时行外科手术治疗可以取得很好的治疗效果,提高良好率和降低死亡及致残率,值得临床应用。

Effect Analysis of Surgical Treatment of 98 Cases of Acute Traumatic Brain Injury

Objective： To analyze and explore clinical effect of acute traumatic brain injury patients through surgical treatment. Method： FromMarch 2011 to March 2013, 196 patients were treated as study object.After imaging diagnosis, the patients were randomly divided into the observation group and the treatment group. The treatment group through eraniotomy surgery under general anesthesia has been taken throughout the specific surgical procedure for patients with traumatic circumstances. The observation group was given the traditional medical treatment, including dehydration reducing intracranial pressure, anti-infection, nutritional support, comprehensive treatment. Glasgow Outcome Scale （ GOS ） was analyzed for therapeutic effect determination. Result： After effective treatment, the total effective rate of the treatment group was 81.63%, and the vegetative and mortality rate was 3.06%. The total effective rate of the observation group was 63.27%, and the mortality rate and vegetative good rate was 11.22%. The therapeutic effect of the treatment group was significantly better than the observation group, and the difference was statistically significant （ P〈0.05 ） . Conclusion： For patients with acute brain injury timely surgical operations can be achieved very good therapeutic effect, increasing the good rate and lower mortality and morbidity, worthy of clinical application.