摘要
Abstract
Objective To discuss the effect of intracranial pressure monitoring combined with decompress craniectomy in the treatment of extensive brain infarction.Methods 69 patients with extensive brain infarction treated in our partment from A-pril 2008 to January 2013 were selected and randomly divided into test group and control group ,35 patients in test group were given intracranial pressure monitoring combined decompressive craniectomy ,and 34 patients in control group were given in-tracranial pressure monitoring combined with drug treatment. Follow-up for 12 months ,mortality and ADL of patients in two groups were compared.Results 3 patients died in the test group ,the mortality rate was 8.57% ;7 cases died in control group ,the mortality rate was 20.59% ,the difference between two groups was statistically significant (P<0.05);after follow-up , 23 (71.88% ) cases were moderate disability in the 32 patients survived from test group ,2 (6.25% ) cases were severe disabil-ity and 7 (21.87% ) cases were mild disability ;13 (48.45% ) cases were moderate disability in the 27 patients survived from control group ,9 (33.33% ) cases were severe disability and 5 (18.52% ) cases were mild disability. two groups with ,the difference in moderate disability and severe disability between two groups was statistical significant (P<0.05).Conclusion Decompressive craniectomy in treatment of patients with extensive brain infarction can reduce the mortality ,improve the sur-vival rate ,and also improve the quality of life of the late stage.关键词
颅内压监测/去骨瓣减压/大面积脑梗死/病死率/ADL能力Key words
Intracranial pressure monitoring/Decompress craniectomy/Extensive brain infarction/Mortality rate/ADL分类
医药卫生
