摘要
目的:探讨标准去骨瓣减压术在大面积脑梗死治疗中的应用效果和价值。方法:收治大面积脑梗死患者40例,按就诊顺序分为对照组和观察组,各20例。对照组采用常规去骨瓣减压术,观察组采用标准去骨瓣减压术治疗。结果:术后7d,观察组格斯拉哥昏迷评分、中线结构位移、脑梗死灶范围均较对照组改善;观察组脑血流较对照组明显改善,治疗14d后,观察组指标正常率高于对照组,两组差异有统计学意义(P<0.05)。观察组恢复良好和中度残疾的比例明显高于对照组,差异有统计学意义(P<0.05)。结论:对大面积脑梗死患者采用标准去骨瓣减压术治疗,可达到更好的治疗效果。
Objective:To investigate the effect and value of intervention in the treatment of massive cerebral infarction.Methods:40 patients with large cerebral infarction were divided into the control group and the observation group,with 20 cases in each group.The control group were treated with routine decompressive craniectomy,and the observation group were treated with standard decompressive craniectomy.Results:After 7 days,Godzilla coma scale,displacement,brother midline infarct range in the observation group improved significantly compared with the control group,and the cerebral blood flow also improved significantly than the control group.After 14 days treatment,the index normal rate in the observation group was higher than in the control group,and the difference was statistically significant between groups(P<0.05). Recovered well and the proportion of moderate disability in the observation group was obviously higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:Standard decompressive craniectomy is effective for the treatment of massive cerebral infarction.
出处
《中国社区医师》
2017年第34期95-95,97,共2页
Chinese Community Doctors
关键词
标准去骨瓣减压术
大面积
脑梗死
Standard decompressive craniectomy
Large area
Cerebral infarction
