| 胡均贤.预见性双侧平衡去骨瓣减压术治疗重型闭合性颅脑损伤的应用意义[J].安徽医药,2016,20(7):. |
| 预见性双侧平衡去骨瓣减压术治疗重型闭合性颅脑损伤的应用意义 |
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| 投稿时间：2015-12-10 |
| DOI： |
| 中文关键词: 预见性双侧平衡去骨瓣减压术 重型 颅脑损伤 生活质量 |
| 英文关键词: Predictive bilateral balanced bone flap decompression Severe Brain injury Quality of life |
| 基金项目: |
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| 摘要点击次数: 2797 |
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| 中文摘要: |
| 目的：研究预见性双侧平衡去骨瓣减压术治疗重型闭合性颅脑损伤的临床疗效，为临床治疗提供依据。方法：选取2013年6月到2015年6月我院收治疗的重型颅脑损伤患者150例，按照随机数字表法将患者分为研究组和对照组，每组75例，研究组给予预见性双侧平衡去骨瓣减压术治疗，对照组给予单侧标准大骨瓣减压术治疗，比较两组治疗前后颅内压，急性脑膨出、切口疝发生率、生活质量以及并发症的发生率。结果：治疗前两组颅内压比较无统计学意义（P＞0.05），术后两组颅内压均显著降低，且研究组显著低于对照组，比较差异具有统计学意义（P＜0.05）；研究组急性脑膨出和术后切口疝发生率显著低于对照组，比较差异具有统计学意义（P＜0.05）；研究组生存质量显著高于对照组，比较差异具有统计学意义（P＜0.05）；研究组并发症发生率显著低于对照组，比较差异具有统计学意义（P＜0.05）。结论：预见性双侧平衡去骨瓣减压术治疗重型闭合性颅脑损伤能有效降低颅内压，提高患者生活质量，降低并发症的发生率。 |
| 英文摘要: |
| Objective: To study the clinical effect of the treatment of severe closed craniocerebral injury with bilateral balanced and balanced bone flap, to provide the basis for clinical treatment.Methods: 150 patients with severe craniocerebral injury treated by our hospital were selected from June 2013 to June 2015, they were divided into study group and control group according to the random number table method,75 cases in each group, the study group was treated with predictive bilateral balance of bone flap decompression, the control group was treated with unilateral standard large bone flap decompression, intracranial pressure was compared between the two groups before and after treatment, incision hernia of acute encephalocele, incidence of complications, and quality of life of two groups were compared.Results: The intracranial pressurebefore and after treatment of two groups were no statistical significance (P > 0.05), intracranial pressure was significantly decreased in two groups, and the study group was significantly lower than the control group, the difference was statistically significant (P < 0.05);Acute encephalocele and postoperative incisional hernia incidence of the study group was significantly lower than the control group, the difference was statistically significant (P < 0.05);Quality of life of the study group was significantly higher than the control group, the difference was statistically significant (P < 0.05);The incidence of complications in the study group was significantly lower than that in the control group, the difference was statistically significant (P < 0.05). Conclusion:Predictive bilateral balanced treatment of severe closed craniocerebral injury can effectively reduce intracranial pressure, improve the quality of life of patients, reduce the incidence of complications. |
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