国际医药卫生导报2016，Vol.22Issue(11)：1581-1583,3.DOI:10.3760/cma.j.issn.1007-1245.2016.11.025
改良去大骨瓣减压术对重型颅脑损伤患者高级脑功能的影响
Effect of modified large craniectomy decompression on advanced brain function in patients with severe craniocerebral injury
董留建 1齐林 1冯书彬 1吕强 1芦山 1李涛 1程子嵌1
作者信息
摘要
Abstract
Objective To investigate the effect of modified large craniectomy decompression on advanced brain function in patients with severe craniocerebral injury.Methods 84 cases of severe craniocerebral injury were selected as the study object and randomly divided into group A and group B,42 cases in each group.The two groups were respectively treated with modified large craniectomy decompression and standard trauma large craniotomy decompression.The difference in Glasgow outcome score (GOS) grading between two groups after surgery was compared.The scores of balance function rating scale (Fugl-Meyer) and Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) were recorded before and after treatment.The difference in the incidence of postoperative complications was analyzed.Results ① The ineffective rate in group A was significantly lower than that in group B (19.0％ vs.45.2％;x2=6.604,P=0.010).② After treatment,the scores of Fugl-Meyer and LOTCA in two groups were significantly higher than those before treatment,and the scores in group A were better than those in group B (P＜0.05).① The incidence of postoperative complications in group A was significantly lower than that in group B (20.5％ vs.47.2％;x 2=6.010,P=0.014).Conclusion Modified large craniectomy decompression can effectively improve advanced brain function in patients with severe craniocerebral injury,with a low incidence of complications and good prognosis.关键词
改良去大骨瓣减压术/重型颅脑损伤/高级脑功能Key words
Modified large craniectomy decompression/Severe craniocerebral injury/Advanced brain function引用本文复制引用
董留建,齐林,冯书彬,吕强,芦山,李涛,程子嵌..改良去大骨瓣减压术对重型颅脑损伤患者高级脑功能的影响[J].国际医药卫生导报,2016,22(11):1581-1583,3.
