重型颅脑创伤应用控制性阶梯式颅内减压手术治疗的效果研究.docVIP

精品论文 参考文献 重型颅脑创伤应用控制性阶梯式颅内减压手术治疗的效果研究 湖南省慈利县人民医院 湖南张家界 427200 　　【摘 要】目的：研究重型颅脑损伤应用控制性阶梯式颅内减压手术治疗的效果。方法：选取我院2014年1月到2015年6月期间收治的重型颅脑创伤患者90例为研究对象，按照数字随机法将其分为对照组和试验组，每组各45例。对照组患者采用常规大骨瓣减压手术进行治疗，试验组采用控制性阶梯式颅内减压手术进行治疗，比较两组患者的并发症发生情况，并对两组患者的预后情况进行比较。结果：试验组患者的术后并发症发生率较对照组明显更低，两组数据相比差异存在显著性（P＜0.05），并且术后试验组患者中出现死亡和进入植物人状态的患者较对照组明显更少，两组数据相比差异显著（P＜0.05），并且试验组预后效果明显低于对照组（P＜0.05）。结论：重型颅脑创伤应用控制性阶梯式颅内减压手术治疗的效果显著，能明显提高患者的治疗效果和生存质量，具有很高临床推广价值。 　　【关键词】重型颅脑创伤；控制性阶梯式；颅内减压手术；效果 　　[Abstract] Objective：To study the effect of controlled step type intracranial decompression in the treatment of severe brain injury.Methods：90 cases of severe traumatic brain injury in our hospital from January 2014 to June 2015 were selected as the research object.According to the number of random method，it was divided into two groups：control group and experimental group，45 cases in each group.The control group was treated with conventional craniotomy operation treatment，experimental group with control of ladder type intracranial decompression surgery，the incidence of complications were compared between the two groups，and the prognosis of the two groups were compared.Results：the incidence rate was significantly lower in test group than in the control group of patients with postoperative complications，significant differences compared with the data of the two groups（P lt; 0.05），and the patients in the trial group and death into a vegetative state were significantly less postoperative，two group significantly（P lt; 0.05）.The test group and the prognosis was significantly lower than the control group（P lt; 0.05）.Conclusion：the treatment of severe traumatic brain injury with controlled step intracranial decompression is effective，can significantly improve the patients treatment effect and quality of life，and has a high clinical value. 　　[Key words] severe traumatic brain injury control step type intracranial decompression operation effect 　　 　　 　　重型颅脑创伤是指颅脑创伤的十分严重，患者受伤后会出现脑死亡、脑性肺水肿、高渗高血糖非酮性昏迷及盐和水代谢紊乱的症状[1]。重型颅脑