吴浩

• 1:博爱县人民医院神经外科

摘要(Abstract)：

目的探究标准外伤大骨瓣开颅术对额颞部重型颅脑损伤(STBI)患者效果、术后并发症发生率及生活质量的影响。方法选取博爱县人民医院2012-08-2016-08收治的STBI患者98例,依据建档顺序分组各49例。对照组实施常规骨瓣开颅术,观察组采取标准外伤大骨瓣开颅术,统计比较2组手术前后脑功能障碍评分(DRS)、神经功能评分(NIHSS)、颅内压水平,术后进行5个月随访,对比2组预后、并发症发生情况及术前、术后5个月生活质量评分(SF-36)。结果观察组术后DRS、NIHSS评分及颅内压水平均较对照组降低,差异有统计学意义(P<0.05);经随访,观察组恢复良好率40.82%(20/49)高于对照组20.41%(10/49),并发症发生率6.12%(3/49)低于对照组20.41%(10/49),差异有统计学意义(P<0.05);2组术后5个月SF-36评分均较术前提高,且观察组升高幅度大于对照组,差异有统计学意义(P<0.05)。结论对额颞部重型颅脑损伤患者采用标准外伤大骨瓣开颅术治疗效果显著,可明显改善患者颅内压,促进脑功能及神经功能恢复,改善预后,提升患者生活质量,且并发症少。

关键词(KeyWords)： 重症颅脑损伤;标准外伤大骨瓣开颅术;并发症;生活质量;神经功能;脑功能障碍评分

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 吴浩

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