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目的对比早期脑室-腹腔分流术和颅骨修补术治疗脑外伤的临床疗效。方法 60例脑外伤患者随机分为观察组和对照组,各30例。对照组患者在2个月后先采用脑室-腹腔分流术,再采用颅骨修补术治疗,观察组患者在2个月内采用脑室-腹腔分流术和颅骨修补术治疗,比较两组患者治疗后的总有效率和格拉斯哥昏迷指数(GCS)评分。结果观察组脑外伤患者治疗后的总有效率86.67%和GCS评分(15.21±1.27)分明显高于对照组脑外伤患者56.67%、(10.41±1.15)分,差异有统计学意义(P<0.05)。结论早期行脑室-腹腔分流术和颅骨修补术治疗脑外伤具有良好的临床效果。
Objective To compare the clinical effects of early ventricular-peritoneal shunt and skull repair in the treatment of traumatic brain injury. Methods 60 cases of traumatic brain injury were randomly divided into observation group and control group, each 30 cases. The patients in the control group were treated with ventriculoperitoneal shunt at 2 months later and treated with skull repair. The patients in the observation group were treated with ventricular-peritoneal shunt and skull repair within 2 months. The patients in the two groups were compared Total Effectiveness and Glasgow Coma Index (GCS) score. Results The total effective rate (86.67%) and GCS score (15.21 ± 1.27) in observation group were significantly higher than that in control group (56.67%, 10.41 ± 1.15), the difference was statistically significant (P <0.05 ). Conclusion Early intraventricular-peritoneal shunt and cranial repair of traumatic brain injury has a good clinical effect.