本文選題：骨瓣　切入點(diǎn)：壓手　出處：《醫(yī)藥論壇雜志》2016年11期 　論文類型：期刊論文

【摘要】：目的研究標(biāo)準(zhǔn)去骨瓣減壓手術(shù)時(shí)機(jī)對大面積腦梗死患者預(yù)后的影響。方法選取2011年7月—2013年2月96例大面積腦梗死患者作為研究對象,隨機(jī)分為觀察組與對照組,每組均為48例,對照組在患者腦疝后進(jìn)行去骨瓣減壓手術(shù)治療,觀察組在患者腦疝前進(jìn)行去骨瓣減壓手術(shù)治療,比較兩組患者治療前后顱內(nèi)壓變化情況、術(shù)后并發(fā)癥以及對患者預(yù)后療效的影響。結(jié)果觀察組術(shù)后1d、2d、3d的顱內(nèi)壓均低于對照組,兩組比較有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組術(shù)后膜下積液、腦積水與術(shù)后腦膨發(fā)生率分別為2.1%、4.2%、0.0%,均低于對照組,兩組比較有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組治療總有效率為89.6%,高于對照組的72.9%,兩組比較有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組治療后GCS總評分為(11.06±2.94)分,高于治療前及對照組,比較有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論腦疝前實(shí)施去骨瓣減壓手術(shù)是治療大面積腦梗死的最佳標(biāo)準(zhǔn)時(shí)機(jī),減少并發(fā)癥的發(fā)生,提高治療效果、加快恢復(fù)速度,對大面積腦梗死患者的預(yù)后有良好的促進(jìn)作用。
[Abstract]:Objective to study the effect of standard decompression of bone flap on the prognosis of patients with large area cerebral infarction. Methods 96 patients with large area cerebral infarction from July 2011 to February 2013 were randomly divided into observation group and control group. There were 48 cases in each group. The patients in the control group were treated with decompression of bone flap after brain hernia, and the patients in the observation group were treated with decompression before and after treatment. The changes of intracranial pressure before and after treatment were compared between the two groups. Results Intracranial pressure in the observation group was significantly lower than that in the control group on the 1st and 2nd day after operation, and there was significant difference between the two groups (P 0.05), the submembranous effusion in the observation group was significantly lower than that in the control group. The incidence of hydrocephalus and postoperative cerebral swelling were 2.1% and 4.2%, respectively, which were lower than those in the control group (P 0.05), the total effective rate of treatment in the observation group was 89.6%, which was higher than that in the control group (72.9%, P 0.05), the total GCS score after treatment in the observation group was 11.06 鹵2.94). Conclusion the decompression of craniotomy before cerebral hernia is the best time to treat large area cerebral infarction, reduce the occurrence of complications, improve the effect of treatment, and accelerate the recovery rate. It can promote the prognosis of patients with large area cerebral infarction.
【作者單位】： 洛陽市第一人民醫(yī)院神經(jīng)外科;哈密地區(qū)中心醫(yī)院神經(jīng)外科;
【分類號】：R651.1

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