[1]王春城.控制性阶梯式减压术对颅脑损伤患者预后及并发症的影响研究[J].医学信息,2019,32(07):110-111.[doi:10.3969/j.issn.1006-1959.2019.07.032]
　WANG Chun-cheng.Effect of Controlled Stepped Decompression on Prognosis and Complications of Patients with Craniocerebral Injury[J].Journal of Medical Information,2019,32(07):110-111.[doi:10.3969/j.issn.1006-1959.2019.07.032]
点击复制

控制性阶梯式减压术对颅脑损伤患者预后及并发症的影响研究()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年07期
页码:
110-111
栏目:
临床研究
出版日期:
2019-04-01

文章信息/Info

Title:
Effect of Controlled Stepped Decompression on Prognosis and Complications of Patients with Craniocerebral Injury
文章编号:
1006-1959（2019）07-0110-02
作者:
王春城
（佳木斯市中心医院神经外科，黑龙江 佳木斯 154000）
Author(s):
WANG Chun-cheng
(Department of Neurosurgery,Jiamusi Central Hospital,Jiamusi 154000,Heilongjiang,China)
关键词:
控制性阶梯式减压术; 标准大骨瓣快速减压术; 颅脑损伤; 预后; 并发症
Keywords:
Controlled step decompression; Standard large bone flap decompression; Craniocerebral injury; Prognosis; Complications
分类号:
R651.15
DOI:
10.3969/j.issn.1006-1959.2019.07.032
文献标志码:
A
摘要:
目的 探讨控制性阶梯式减压术在颅脑损伤中的效果及对患者预后、并发症的影响。方法 选择2016年4月~2017年11月我院收治的颅脑损伤患者72例，随机分为对照组和观察组，各36例。对照组采用标准大骨瓣快速减压术治疗，观察组采用控制性阶梯式减压术治疗，比较两组治疗预后及并发症发生率。结果 观察组良好、中度残疾率均高于对照组，差异有统计学意义（P＜0.05）；观察组重度残疾、植物生存及死亡率均低于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率低于对照组，但差异无统计学意义（P＞0.05）。结论 控制性阶梯式减压术治疗颅脑损伤患者，可有效改善患者预后，不增加并发症发生率，值得应用。
Abstract:
Objective To investigate the effect of controlled step decompression in craniocerebral injury and its influence on prognosis and complications. Methods 72 patients with craniocerebral injury admitted to our hospital from April 2016 to November 2017 were randomly divided into control group and observation group, 36 cases each. The control group was treated with standard large bone flap decompression, and the observation group was treated with controlled step decompression. The prognosis and complication rate of the two groups were compared. Results The good and moderate disability rate of the observation group were higher than that of the control group (P<0.05). The severe disability, plant survival and mortality of the observation group were lower than the control group after treatment. The difference was statistically significant(P<0.05); the incidence of complications in the observation group was lower than that in the control group, but the difference was not statistically significant (P>0.05). Conclusion Controlled step decompression for patients with craniocerebral injury can effectively improve the prognosis of patients without increasing the incidence of complications, which is worthy of application.

参考文献/References:


[1]陈达健,陈鸿尤.阶梯控制减压术对重型颅脑损伤患者神经功能及生活质量的影响[J].广东医学,2017,38(13):2019-2021.
[2]秦德广,黄文勇,杨灵,等.高渗盐水在重型颅脑损伤去骨瓣减压术后颅内高压治疗中的应用研究[J].中华神经医学杂志,2016,15(12):1267-1273.
[3]甘宁,刘思思,李英姿,等.重型颅脑损伤患者改良大骨瓣减压术中渐进减压与常规减压对比观察[J].山东医药,2017,57(27):70-72.
[4]吕然博,赵涛,连成章,等.渐进性减压与常规减压治疗重型颅脑损伤的疗效比较[J].国际神经病学神经外科学杂志,2016,43(5):407-410.
[5]李欣.腰大池持续引流术联合骨瓣减压控制术治疗对重型颅脑损伤患者并发症和预后的影响[J].国际神经病学神经外科学杂志,2017,44(4):396-400.
[6]李吉新.颅脑损伤患者中CT扫描的诊断意义[J].医学信息,2016,29(9):311-311.

更新日期/Last Update: 2019-04-01