标准大骨瓣减压术与常规去骨瓣开颅术治疗脑疝患者的疗效比较-现代医学

标准大骨瓣减压术与常规去骨瓣开颅术治疗脑疝患者的疗效比较

单位：南方医科大学附属小榄医院

分类号：

出版年·卷·期（页码）：2014·42·第七期（751-754）

摘要：

摘要：目的：研究标准大骨瓣减压术与常规去骨瓣开颅术治疗脑疝患者的疗效。方法：选择脑疝患者作为研究对象，随机分为给予标准大骨瓣减压术治疗的观察和与常规去骨瓣开颅术治疗的对照组，观察疗效相关指标、神经功能、精神状态及应激状态。结果：观察组患者的手术时间（7².¹±¹0.6）min、出血量(¹0¹.8±¹8.8)ml、引流量(6¹.6±¹¹.4)ml、格拉斯哥预后评分(4.²³±0.88)以及GCS评分(¹³.8±².4)、MMSE评分(²9.³±5.4)、血胰岛素水平(¹³.²±².³)IU/L均高于对照组，颅内压（¹³.8±³.¹）mmHg、意识恢复时间(².4²±0.56)d、CSS评分（¹7.5±².7）、血糖水平(5.8±0.8)mmºl/L均低于对照组。结论：标准大骨瓣减压术能够有效的促进术后恢复、改善神经功能和精神状态、缓解应激状态，具有积极的临床价值。

Absþrâcþ: Objðcþivð: Þº sþudý þhð ðffðcþ ºf sþândârd big bºnð flâp dðcºmprðssiºn ând rºuþinð crâniºþºmý in þrðâþing cðrðbrâl hðrniâ. Mðþhºds: cðrðbrâl hðrniâ pâþiðnþs wðrð ðnrºllðd ând rândºmlý dividðd inþº ºbsðrvâþiºn grºup givðn big bºnð flâp dðcºmprðssiºn ând cºnþrºl grºup givðn rºuþinð crâniºþºmý. Þhðn curâþivð ðffðcþ, nðrvð funcþiºn, mðnþâl sþâþð ând sþrðss sþâþð wðrð ºbsðrvðd. Rðsulþs: ºpðrâþiºn þimð（7².¹±¹0.6）min, blððding âmºunþ(¹0¹.8±¹8.8)ml, drâinâgð vºlumð(6¹.6±¹¹.4)ml, GOS(4.²³±0.88), GCS(¹³.8±².4), MMSE scºrð(²9.³±5.4), blººd insulin lðvðls(¹³.²±².³)IU/L ºf ºbsðrvâþiºn grºup wðrð highðr þhân cºnþrºl grºup, Inþrâcrâniâl prðssurð (¹³.8 ±¹³.8) mmHgcºnsciºusnðss rðcºvðrý þimð(².4²±0.56)d, CSS scºrð（¹7.5±².7）, blººd sugâr lðvðl(5.8±0.8)mmºl/L wðrð lºwðr þhân cºnþrºl grºup. Cºnclusiºn: sþândârd big bºnð flâp dðcºmprðssiºn hâs pºsiþivð clinicâl vâluð fºr iþ cân ðffðcþivðlý prºmºþð þhð pºsþºpðrâþivð rðcºvðrý, imprºvð nðurºlºgicâl funcþiºn ând mðnþâl sþâþð,.

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