摘要
Abstract
Objective To investigate the effect of standard large trauma craniotomy on intracranial pressure changes and neurological deficits in patients with severe craniocerebral injury.Methods Totally 120 patients with severe craniocerebral injury,who were admitted to Jizhou District People's Hospital of Tianjin from June 2022 to May 2024,were selected as the research objects.According to the random number table method,the subjects were divided into control group and study group,with 60 patients in each group.The control group underwent conventional bone flap craniotomy,and the study group underwent standard traumatic large bone flap craniotomy.The clinical efficacy,intracranial pressure changes,neurological deficits and postoperative complications(incisional cerebrospinal fluid leakage,epilepsy,incisional hernia,intracranial infection,postoperative rebleeding)were compared between the two groups.Results A statistically significant difference was observed in the excellent and good rates between the two groups,with the study group demonstrating a markedly higher rate of 95.00%compared to 78.33%in the control group(P<0.05).The ICP of the two groups at 2,4 and 6 days after operation were lower than those before operation,and the ICP in the study group remained significantly lower than that in the control group at 2,4,and 6 days after operation(P<0.05).Both groups showed significant decreased in NIHSS score at 1 week and 1 month after operation compared with their before operation,with the study group demonstrating significantly lower NIHSS score than the control group at 1 week and 1 month after operation(P<0.05).A statistically significant difference was found in the incidence of postoperative complications between the two groups,with the study group demonstrating a markedly lower rate of 1.67%compared to 15.00%in the control group(P<0.05).Conclusion Standard large trauma craniotomy is effective in patients with severe craniocerebral injury,which can reduce intracranial pressure,improve neurological function,protect brain tissue and has high safety.关键词
标准外伤大骨瓣开颅术/重型颅脑损伤/颅内压力/脑组织Key words
Standard large trauma craniotomy/Severe craniocerebral injury/Intracranial pressure/Brain tissue分类
医药卫生
