| 丁源.重型颅脑损伤患者硬脑膜网状和放射状切开疗效比较[J].安徽医药,2018,22(8):1530-1532. |
| 重型颅脑损伤患者硬脑膜网状和放射状切开疗效比较 |
| Comparison of curative effects of dural mesh cut and radial incision in patients with severe craniocerebral injury |
| 投稿时间：2017-03-21 |
| DOI： |
| 中文关键词: 重型颅脑损伤 硬脑膜网状切开 硬脑膜放射状切开 |
| 英文关键词: Severe craniocerebral injury Dura mesh cut Dura radial incision |
| 基金项目: |
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| 摘要点击次数: 1924 |
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| 中文摘要: |
| 目的 观察重型颅脑损伤患者硬脑膜网状切开和放射状切开的治疗效果。 方法 将64例重型颅脑损伤患者采用随机数字表法分为网状组和放射状组,每组32例。两组患者均采用标准外伤去骨瓣减压术治疗,网状组患者硬脑膜采用网状切开,放射状组患者硬脑膜采用放射状切开,观察两组治疗前后颅内压(ICP)及格拉斯哥评分(GCS)变化、并发症发生率、神经功能恢复及格拉斯哥预后评分(GOS)情况。 结果 治疗后两组ICP较治疗前显著降低,GCS较治疗前明显好转,治疗后网状组ICP[(16.21±2.17) mmHg比(23.94±2.43) mmHg]、GCS评分[(10.28±2.94)分比(8.71±3.23)分]、预后及神经功能保留均优于放射状组；网状组并发症发生率和治愈率分别为37.5%、40.6%,放射状组并发症发生率和治愈率分别为53.1%、28.1%,两组比较差异有统计学意义。 结论 重型颅脑损伤患者硬脑膜网状切开在缓解脑水肿、减少并发症、保留认知及运动功能等方面明显优于硬脑膜放射状切开,值得临床引起足够的重视。 |
| 英文摘要: |
| Objective To observe the therapeutic effect of dural incision and radial incision in patients with severe craniocerebral injury.Methods 64 patients with severe craniocerebral injury were randomly divided into mesh group and radial group, with each group of 32 cases. Two groups of patients were treated with standard trauma decompression. Mesh group adopts dura mesh cut, while the radial group uses dura radial incision. After different methods, we observe the changes in intracranial pressure (ICP) and Glasgow coma score (GCS), complication rate, recovery of neurological function and Glasgow outcome score (GOS) in two groups of patients before and after the treatment.Results The ICP of two groups after treatment significantly decreased, GCS significantly improves. In mesh group, its ICP [(16.21±2.17)mmHg vs.(23.94±2.43) mmHg], GCS score[(10.28±2.94) vs.(8.71±3.23)], prognosis and preserve nerve function were better than the control group. In mesh group, the incidence of complications and the cure rate were 37.5%, 40.6%. In radial group, complication rate and the cure rate were 53.1%, 28.1%. The difference between the two groups was statistically significant (P<0.05).Conclusion The dural mesh cut is superior to the dural radial incision in the treatment of patients with severe traumatic brain injury, in terms of reducing complications, preserving cognitive and motor function and other aspects, which is worthy of clinical attention. |
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