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目的:探究标准大骨瓣开颅手术治疗重型创伤性颅脑损伤的临床效果。方法:选取本院2013年2月-2014年3月收治的68例重型颅脑损伤患者作为研究对象,并随机的将其分为对照组与观察组,每组34例。对照组进行常规的骨瓣开颅术,观察组进行标准大骨瓣开颅术,并对两组患者颅内压变化情况、疗效与并发症发生率进行观察与比较。结果:观察组患者的治疗效果优于对照组(P<0.05);两组患者手术前颅内压比较,差异无统计学意义(P>0.05),观察组患者在经过治疗后的降压效果优于对照组(P<0.05);两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论:标准大骨瓣开颅术对重型颅脑损伤患者的治疗效果更好,减压效果较佳,安全性较高。
Objective: To investigate the clinical effect of standard craniotomy for treatment of severe traumatic brain injury. Methods: Sixty-eight patients with severe craniocerebral injury admitted in our hospital from February 2013 to March 2014 were selected as study subjects and randomly divided into control group and observation group with 34 cases in each group. The control group underwent conventional craniotomy, and the observation group underwent standard craniotomy. The changes of intracranial pressure, curative effect and complication rate were observed and compared between the two groups. Results: The treatment effect of the observation group was better than that of the control group (P <0.05). There was no significant difference in the intracranial pressure between the two groups before surgery (P> 0.05). The antihypertensive efficacy of the observation group after treatment (P <0.05). There was no significant difference in the complication rates between the two groups (P> 0.05). Conclusion: The standard craniotomy craniotomy in patients with severe craniocerebral injury treatment effect is better, better decompression effect, higher safety.