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目的:探讨治疗重型颅脑损伤在标准外伤大骨瓣和传统骨瓣治疗两种方案的临床效果。方法:选取我院204例重型颅脑损伤患者进行随机分组治疗,平均分为两组,标准组和传统组,分别采取标准外伤大骨瓣和传统骨瓣治疗,评估两组患者在术后6月的格拉斯哥预后评分,比较两组的疗效,进行统计学分析。结果:通过对两组患者术后状况的比较分析发现,标准组总的有效率44.12%显著高于传统组22.55%,标准组并发症的发病率显著低于传统组,统计学差异显著P<0.05。结论:标准外伤大骨瓣开颅手术治疗重型颅脑损伤效果较好,并发症较少,可在临床上进行推广应用。
Objective: To explore the clinical effect of treating two kinds of programs of treating severe craniocerebral trauma in the treatment of severe trauma and traditional bone flap. Methods: Totally 204 patients with severe craniocerebral injury in our hospital were randomly divided into two groups, the standard group and the traditional group. The patients were treated with the standard large trauma and the traditional bone flap respectively. Month Glasgow prognostic score, the efficacy of the two groups were compared for statistical analysis. Results: By comparing the postoperative status of two groups of patients, the total effective rate of the standard group was 44.12% significantly higher than the traditional group of 22.55%, the incidence of complications in the standard group was significantly lower than the traditional group, the statistical difference was significant P < 0.05. CONCLUSION: Standard craniotomy with large bone flap craniotomy is effective in treating severe craniocerebral injury with fewer complications and can be popularized and applied clinically.