摘要
Abstract
Objective To compare the clinical efficacy of conservative treatment and decompressive craniectomy in differ‐ent times of operation for massive cerebral infarction patients .Methods Depending on the variable treatment strategy conditions and different times of surgery ,60 cases with acute massive cerebral infarction in our hospital were selected and divided into three groups ,20 cases in each group .Cases in group A were treated with conservative therapy ,cases in group B received de‐compressive craniectomy surgery before the formation of cerebral hernia and the rest in group C underwent decompressive craniectomy surgery after cerebral hernia occurred .Then the NIHSS ,GCS ,BI ,mRS scores as well as recovery status ,mortality and prognosis of the three groups were comparatively analyzed .Results After one‐month treatment ,the NIHSS scores were ob‐viously decreased in all three groups ,especially in group C compared with that before treatment ;and the differences between three groups were significant (P<0 .05) .Furthermore ,the three groups showed statistical differences in terms of GCS ,BI and mRS scores ,and group C got the highest GCS and BI scores and the lowest mRS scores (P<0 .05) .After six‐month treat‐ment ,significant differences were found between three groups as for mortality ,functional recovery and prognosis (P<0 .05) . Conclusion Referring to clinical efficacy and short‐term prognosis ,decompressive craniectomy may take advantages over conser‐vative treatment for the treatment of large cerebral infarction .And carrying out operation at the early stage of cerebral hernia should be beneficial for improving survival rate ,functional recovery and prognosis .关键词
大面积脑梗死/保守治疗/去骨瓣减压手术/手术时机Key words
Massive cerebral infarction/Conservative treatment/Decompressive craniectomy/Operation time分类
医药卫生
