脑外伤患者行去骨瓣减压术术后应用早期颅骨修补术的临床效果分析OA
Clinical Value Analysis of Early Skull Repair Surgery in Patients with Brain Injury after Bone Flap Decompression
目的:探讨脑外伤患者行去骨瓣减压术术后采用早期颅骨修补术的临床效果.方法:选取 2022年 4月—2024年 2月单县海吉亚医院收治的 80例脑外伤患者为研究对象,采用随机数字表法将其分为对照组和研究组,各 40例.两组均已于本院完成去骨瓣减压术,对照组于去骨瓣减压术后 6个月实施晚期颅骨修补手术治疗,研究组于去骨瓣减压术后 2～3个月实施早期颅骨修补手术治疗.比较两组意识恢复优良率、并发症发生情况、预后效果、恢复情况、炎症因子水平.结果:研究组意识恢复优良率 95.00%高于对照组的 80.00%,差异有统计学意义(P<0.05).研究组并发症发生率 7.50%低于对照组的 25.00%,差异有统计学意义(P<0.05).研究组预后优良率 95.00%高于对照组的 77.50%,差异有统计学意义(P<0.05).术后 1个月,两组美国国立卫生研究院卒中量表评分均低于术前,且研究组低于对照组,两组Barthel指数评分、Fugl-Meyer运动功能评估量表评分、简易精神状态检查评分均高于术前,且研究组均高于对照组,差异均有统计学意义(P<0.05).术后 1个月,两组反应蛋白、降钙素原、白细胞水平均低于术前,且研究组低于对照组,差异均有统计学意义(P<0.05).结论:脑外伤患者去骨瓣减压术后采用早期颅骨修补术可更好的改善意识恢复情况炎症状态,继而提高预后效果,减少并发症发生情况.
Objective:To investigate the clinical effect of early skull repair surgery after bone flap decompression in patients with brain injury.Methods:A total of 80 patients with traumatic brain injury admitted to Shanxian Hygeia Hospital from April 2022 to February 2024 were selected as research objects,and were divided into a control group and a study group with 40 cases in each group by random number table method.Both groups had completed decompression of bone plate in our hospital.The control group underwent later skull repair surgery 6 months after cranioplasty,and the study group underwent early skull repair surgery 2 to 3 months after cranioplasty.Both groups had completed decompression of bone plate in our hospital.The excellent and good rate of consciousness recovery,the incidence of complications,the effect of prognosis,the recovery and the level of inflammatory factors were compared between the two groups.Results:The excellent and good rate of consciousness recovery in the study group was 95.00%,which was higher than 80.00%in the control group,the difference was statistically significant(P<0.05).The complication rate of the study group was 7.50%,which was lower than 25.00%of the control group,the difference was statistically significant(P<0.05).The excellent and good prognosis rate of the study group was 95.00%,which was higher than 77.50%of the control group,the difference was statistically significant(P<0.05).One month after surgery,the scores of the National Institutes of Health Stroke Scale in both groups were lower than before surgery,and those in the study group were lower than those in the control group.The scores of Barthel Index,Fugl-Meyer Motor Assessment Scale and Mini-Mental State Examination in both groups were higher than before surgery,and those in the study group were higher than those in the control group,with statistical significance(P<0.05).One month after surgery,the levels of C-reactive protein,procalcitonin and white blood cells in 2 groups were lower than before surgery,and those in the study group was lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Early skull repair surgery after bone flap decompression can better improve the inflammatory state of consciousness recovery,and then improve the prognosis and reduce the incidence of complications.
王业绩
山东省菏泽市单县海吉亚医院外科,山东 菏泽 274000
医药卫生
脑外伤早期颅骨修补手术恢复优良率并发症炎症水平预后效果
Brain injuryEarly skull repair surgeryRecovery rate of excellenceComplicationInflammation levelPrognostic effect
《中国伤残医学》 2025 (6)
49-53,5
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