基层医院神经外科危重颅脑外伤救治临床分析

Clinical Analysis of Critical Neurocranial Trauma in Primary Hospitals

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摘要目的对基层医院的神经外科中的危重颅脑外伤患者展开医治,对其经过救治后获得的临床效果进行研究。方法对该院在2013年1月—2017年1月这一期间内收治的患者随机抽取出30例患者,把他们当成该次研究的研究目标,对该次研究目标的抢救方法以及治疗效果进行回顾性分析。结果通过回顾性分析,发现死亡患者有3例,余下的27例患者为存活状态,获得的存活率为90.0%; 27例存活的患者通过治疗,前半个月时获得的NIHSS评分为(19.21±1.49)分、3个月时获得的NIHSS评分为(14.25±1.13)分,治疗前获得的评分为(29.97±2.43)分,差异有统计学意义(P<0.05);27例存活的患者经过治疗后的半个月的GCS评分为(9.84±1.79)分、3个月时获得的GCS评分为(10.89±2.27)分,治疗前的GCS评分为(5.67±1.54)分,差异有统计学意义(P<0.05)。结论在基层医院中的神经外科中,对危重颅脑外伤患者进行治疗时,可以通过综合急诊救治法进行抢救,对患者的各方面情况进行综合考虑机构获得良好的治疗效果,能够抑制并发症发生概率,对预后情况产生良好作用。 Objective To investigate the treatment of critical traumatic brain injury patients in neurosurgery in primary hospitals and to study the clinical effects obtained after treatment. Methods From January 2013 to January 2017 in the hospital, patients who were admitted and treated in this period randomly selected 30 patients and considered them as the research objectives of the study. The rescue methods and treatment effects of the current study objectives were achieved. Conduct a retrospective analysis. Results Through retrospective analysis, 3 patients were found to be dead, the remaining 27 patients were alive, and the survival rate was 90.0%; 27 patients who survived the treatment, and the NIHSS score obtained in the first half month was （19.21±1.49）points, NIHSS scores at （14.25±1.13） points at 3 months and 3 months, scores of （29.97±2.43） points before treatment, and significant differences （P〈0.05）; 27 patients survived. After the treatment, the GSS score was （9.84±1.79）points for the two weeks after treatment, （10.89±2.27）points for the GCS score at three points, and （5.67±1.54）points for the GCS score before treatment. The difference was significant. Statistically significant （P〈0.05）. Conclusion In the neurosurgery of primary hospitals, when treating patients with severe traumatic brain injury, they can be rescued through comprehensive emergency treatment. All aspects of the patient＇s condition can be considered comprehensively to obtain a good therapeutic effect, and complications can be suppressed. Probability has a good effect on the prognosis.

作者周显海 ZHOU Xian-hai(The First People＇s Hospital of Fuquan,Fuquan,Guizhou Province,550599 China)

机构地区贵州省福泉市第一人民医院

出处《系统医学》 2018年第15期76-78,共3页 Systems Medicine

关键词基层医院神经外科危重颅脑外伤临床效果 Primary hospital Neurosurgery Critical traumatic brain injury Clinical effect

分类号 R651 [医药卫生—外科学]

作者简介周显海（1973-），男，贵州瓮安人，本科，副主任医师，主要从事神经外科工作。