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目的观察控制性减压手术在重型颅脑损伤治疗中的临床效果。方法随机选取接受手术治疗的重型颅脑损伤患者96例,按照手术方式的不同分为观察组和对照组各48例。对照组实施传统快速减压手术,观察组实施控制性减压手术。比较2组并发症情况及预后情况。结果观察组并发症发生率为20.83%,低于对照组的39.58%,差异有统计学意义(P<0.05);观察组预后情况优于对照组,差异有统计学意义(P<0.05)。结论控制性减压手术在重型颅脑损伤治疗中效果满意,可显著降低并发症发生率,明显改善预后,值得应用。
Objective To observe the clinical effect of controlled decompression in the treatment of severe craniocerebral injury. Methods A total of 96 patients with severe traumatic brain injury undergoing surgery were randomly selected and divided into observation group (48 cases) and control group (48 cases) according to different surgical methods. The control group underwent conventional rapid decompression surgery and the observation group underwent controlled decompression surgery. The complication and prognosis of two groups were compared. Results The incidence of complications in the observation group was 20.83%, which was lower than that in the control group (39.58%), the difference was statistically significant (P <0.05). The prognosis of the observation group was better than that of the control group (P <0.05). Conclusion Controlled decompression surgery in the treatment of severe craniocerebral injury with satisfactory results, can significantly reduce the incidence of complications, significantly improve the prognosis, it is worth applying.