标准外伤大骨瓣减压术对外伤性多发性颅内血肿患者术后意识障碍恢复的影响

doi:10.13481/j.1671-587x.20160128

Abstract

Abstract:

Objective: To observe the conscious disturbance recovery in the patients with traumatic multiple intracranial hematoma (TMIH)after standard trauma craniectomy(STC),and to explore its value in the treatment of TMIH.Methods: The clinical data of TMIH patients with surgical treatments in 2014 were collected. The patients who dead within one month after surgery,could not be contacted or diagnosed with space-occupying lesions were excluded.According to surgical procedures,the patients were classified as STC group and control group (conventional craniotomy surgery).For each group,10 cases were randomly selected.Using repeated measurement of variance analysis and Wilcoxon rank sum test,the changes of Glasgow Coma Scale (GCS)scores were analyzed before operation and 24 h,1 week,1 month after operation. Results: There were significant changes of GCS at different time points (P< 0.05)by the comprehensive analysis of postoperative time factor and operation factor,which meaned that GCS showed a trend of gradual increase,along with the postoperative time prolongation.The postoperative time factor showed improvement effect on the GCS score,but there was no significant difference in GCS scores between different operation methods (P> 0.05).The GCS score overall recovery trend of different operative methods was the same,but at different time points the GCS score recovery had differences between the different operative methods.By Wilcoxon rank sum test analysis,the rates of GCS score changes were significantly different in STC group and control group(P<0.01)at the time points of 24 h and 1 week after operation.But there was no significant difference in the GCS score change between two groups 1 month after operation(P>0.05).Conclusion: Compared with conventional craniotomy surgery,STC has significant effect on the recovery of conscious disturbance 7 d after operation; but STC has no effect on the recovery of conscious disturbance of the patients 1 month after operation.

Key words: standard trauma craniectom, traumatic multiple intracranial hematoma, conscious disturbance, repeated measurement of variance analysis, Wilcoxon rank sum test

CLC Number:

R651.12

ZHENG Xu, ZHANG Bo, LIU Jianpeng, ZHANG Weitao, YU Jinlu, YANG Hongfa. Influence of standard trauma craniectomy in conscious disturbance recovery in patients with traumatic multiple intracranial hematoma[J].Journal of Jilin University Medicine Edition, 2016, 42(01): 139-143.

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Influence of standard trauma craniectomy in conscious disturbance recovery in patients with traumatic multiple intracranial hematoma

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