早期颅骨修补术对脑外伤出血患者神经功能及肢体运动功能康复的影响

目的探讨对不同的时间实施颅骨修补手术对脑外伤出血患者的治疗效果以及对日常生活能力的影响。方法选取45例脑外伤出血患者,对患者按随机数字表法分组,对于纳入对照组22例患者在骨瓣减压术后3~6个月内实施颅骨修补术,而观察组的23例则在减压术后2个月内实施颅骨修补术,比较2组患者临床疗效、神经功能与生活能力变化及术后并发症情况。结果观察组患者91%的治疗总有效率明显高于对照组的总有效率64%(P<0.05);观察组患者颅骨修补术后3个月,在美国国立卫生研究院卒中量表(NIHSS)评分上比对照组更低,Barthel指数评定量表(BI)、运动功能评定量表(FMA)评分比对照组更高,在2组比较差异均有统计学意义(P<0.05);观察组术后并发症的总发生率4%远比对照组发生率27%更低(P<0.05)。结论对于脑外伤伴脑出血的患者,在行骨瓣减压术后,术后3个月内早期进行颅骨修补手术,对于神经缺损的改善有满意效果,同时也有助于患者日常生活能力、肢体运动功能的提高,使得患者康复满意。

Effect of early cranial repair on rehabilitation of neurological function and limb motor function in patients with traumatic cerebral hemorrhage

Objective To investigate the effect of skull repair surgery at different timeframes on treatment outcome and activity of daily living among patients with traumatic cerebral hemorrhage.Methods A total of 45 patients with traumatic cerebral hemorrhage were divided into the study group(n=23)and control group(n=22)according to random number table.The control group underwent skull repair within 3 to 6 months after decompressive craniectomy,and the study group underwent skull repair within 2 months after decompressive craniectomy.The clinical efficacy,changes in neurological function and activity of daily living,and postoperative complications were compared between the two groups.Results The total effective rate was significantly higher in the study group(91%)than that in the control group(64%,P<0.05).At 3 months after skull repair,the patients in the study group had lower NIHSS score,higher BI and FMA scores,compared to the control group with statistically significant differences between groups(P<0.05).The incidence of postoperative complications was 4%in the study group,which was much lower than that in the control group(27%,P<0.05).Conclusion For patients with traumatic cerebral hemor-rhage,early skull repair within 3 months after decompressive craniectomy may lead to satisfactory improvements in neurological deficit,activity of daily living,and limb motor function,which benefits patient recovery.