Clinical study of controlled decompression in the treatment of elderly patients with severe craniocerebral injury
10.3760/cma.j.issn.1008-6706.2019.10.002
- VernacularTitle: 控制性减压术治疗中老年人重型颅脑损伤的临床研究
- Author:
Bao WANG
1
;
Li HAO
2
;
Xiaodong LIU
3
Author Information
1. Department of Neurosurgery, the First People's Hospital of Jinzhong, Jinzhong, Shanxi 030600, China
2. Department of Oral and Maxillofacial Surgery, the First People's Hospital of Jinzhong, Jinzhong, Shanxi 030600, China
3. Department of Neurosurgery, the First Affiliated Hospital of Shanxi Medical University, Taiyuan, Shanxi 030001, China
- Publication Type:Journal Article
- Keywords:
Craniocerebral trauma;
Decompression, surgical;
Decompressive craniectomy;
Prognosis;
Comparative Offectiveness research;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(10):1157-1160
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the curative effect of controlled decompression in the treatment of elderly patients with severe craniocerebral injury.
Methods:The clinical data of 82 patients with severe head injury in the First People's Hospital of Jinzhong were retrospectively analyzed from February 2016 to September 2017.Thirty-seven patients who took the big bone flap decompression for the treatment were selected as control group, and 45 patients who took controlling decompression for the treatment were selected as observation group.The clinical efficacy of the two groups was evaluated.
Results:The total effective rate of the observation group was 93.33%(42/45), which was higher than 75.68%(28/37) of the control group(χ2=5.068, P<0.05). The incidence rate of complication of the observation group was 4.44%(2/45), which was lower than 18.92%(7/37) of the control group (χ2=4.354, P<0.05). The Barthel score[(86.8±3.4)points], NCSE score[(84.9±3.6)points]and GCS score[(13.2±0.5)points]of the observation group were significantly higher than those of the control group[(78.9±6.7)points, (80.3±5.4)points, (12.6±1.7)points, t=3.908, 4.606, 2.255, all P<0.05].
Conclusion:The curative effect of controlled decompression in the treatment of severe craniocerebral injury is distinct, and it has fewer complications, and can effectively improve the clinical symptoms, the prognosis effect is good.
