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目的探究脑外伤患者使用早期颅骨修补及脑室腹腔分流进行治疗的临床疗效,为临床治疗提供参考。方法 60例脑外伤患者,随机分为对照组和观察组,每组30例。对照组进行脑室腹腔分流术后间隔3~6个月再进行颅骨修补手术,观察组选用早期颅骨修补及脑室腹腔分流进行治疗。观察两组患者术后临床疗效以及整体恢复情况。结果观察组恢复合格率高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组术前神经功能缺损评分为(28.6±2.5)分,术后评分(13.9±1.5)分,对照组术前神经功能缺损评分为(28.9±2.1)分,术后评分(23.2±1.9)分。两组术前神经功能缺损评分比较差异无统计学意义(P>0.05);观察组术后神经功能缺损评分明显低于对照组,差异具有统计学意义(P<0.05)。结论对脑外伤患者治疗使用早期颅骨修补及脑室腹腔分流手术,能够有效降低术后不良症状的出现,临床疗效显著,值得推荐使用。
Objective To investigate the clinical efficacy of traumatic brain injury in patients with traumatic brain injury and peritoneal shunt, and to provide a reference for clinical treatment. Methods 60 cases of traumatic brain injury were randomly divided into control group and observation group, 30 cases in each group. In the control group, intracranial peritoneal shunt was performed for an interval of 3 to 6 months for cranial repair. The observation group was treated with early skull repair and ventricular peritoneal shunt. The clinical efficacy and overall recovery of the two groups were observed. Results The recovery rate of the observation group was higher than that of the control group, the difference was statistically significant (P <0.05). The incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P <0.05). The score of preoperative neurological deficit in the observation group was (28.6 ± 2.5) and postoperatively (13.9 ± 1.5), the score of preoperative neurological deficit in the control group was (28.9 ± 2.1) and postoperative score was (23.2 ± 1.9) Minute. There was no significant difference in preoperative neurological deficit score between the two groups (P> 0.05). The neurological deficit score of the observation group was significantly lower than that of the control group (P <0.05). Conclusion The treatment of patients with traumatic brain injury using early skull repair and peritoneal shunt ventricle, can effectively reduce the appearance of postoperative adverse symptoms, significant clinical effect, it is recommended.