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目的:观察早期积极手术和应用尼莫地平在治疗急性重型颅脑损伤的临床疗效。方法:随机选取我院脑外科急性重型颅脑损伤患者68例,根究研究需要随机分配为实验组和对照组各34例,实验组患者早期实施去瓣膜减压术联合尼莫地平用药,对照组仅实施早期积极手术。对比两组患者术后昏迷的恢复情况以及术后并发症情况,分析手术联合用药在急性重型颅脑损伤救治中的影响。结果:实验组术后患者昏迷情况改善程度较对照组好,总有效率达97.1%,术后并发症发生率较对照组低,总有效率为94.1%,均符合统计学差异(P<0.05)。结论:早期积极手术和应用尼莫地平在治疗急性重型颅脑损伤中具有重要意义,值得推广。
Objective: To observe the clinical efficacy of early active surgery and nimodipine in the treatment of acute severe craniocerebral injury. Methods: A total of 68 patients with acute severe craniocerebral injury were selected randomly from our hospital. All patients were randomized to 34 cases in the experimental group and control group. The patients in the experimental group were treated with valvular decompression combined with nimodipine and the control group Only active early surgery. The recovery of postoperative coma and postoperative complications were compared between the two groups, and the effect of combined operation on acute severe craniocerebral injury was analyzed. Results: The improvement rate of postoperative coma in experimental group was better than that of control group, the total effective rate was 97.1%, the incidence of postoperative complications was lower than that of control group, the total effective rate was 94.1%, both of which were in accordance with statistical significance (P <0.05 ). Conclusion: Early active surgery and application of nimodipine in the treatment of acute severe craniocerebral injury is of great significance and is worth promoting.