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目的观察应用标准外伤骨瓣开颅术治疗重型颅脑损伤的临床效果。方法 90例重型颅脑损伤患者,根据入院顺序分为对照组及观察组,各45例。对照组行常规骨瓣开颅术治疗,观察组行标准外伤骨瓣开颅术治疗。比较两组患者的临床治疗效果。结果观察组治疗效果优于对照组,差异具有统计学意义(P<0.05)。其中,观察组的良好率为55.56%,高于对照组的28.89%,观察组的重残率为11.11%,低于对照组的31.11%,差异均具有统计学意义(P<0.05)。观察组并发症发生率为8.89%,低于对照组的24.44%,差异具有统计学意义(P<0.05)。治疗后,两组患者的神经功能缺损评分均低于治疗前,且观察组低于对照组,差异均具有统计学意义(P<0.05)。结论采用标准外伤骨瓣开颅术治疗重型颅脑损伤可以明显改善治疗效果,促进预后,还能有效控制并发症的发生,促进神经功能的恢复,安全可靠,具有良好的临床应用价值。
Objective To observe the clinical effect of using standard traumatic craniotomy for traumatic brain injury. Methods Ninety patients with severe craniocerebral injury were divided into control group and observation group according to admission sequence, 45 cases in each group. The control group underwent conventional craniotomy for craniotomy. The observation group was treated by standard traumatic craniotomy. The clinical effects of the two groups were compared. Results The observation group was better than the control group, the difference was statistically significant (P <0.05). Among them, the good rate of the observation group was 55.56%, which was higher than that of the control group (28.89%). The severe disability rate of the observation group was 11.11%, which was lower than that of the control group (31.11%). The differences were statistically significant (P <0.05). The incidence of complications in the observation group was 8.89%, which was lower than that in the control group (24.44%), the difference was statistically significant (P <0.05). After treatment, the scores of neurological deficit in both groups were lower than before treatment, and the observation group was lower than the control group, the difference was statistically significant (P <0.05). Conclusion The treatment of severe craniocerebral trauma with standard traumatic craniotomy can significantly improve the therapeutic effect and promote the prognosis. It can also effectively control the occurrence of complications and promote the recovery of nerve function, which is safe and reliable and has good clinical value.