Objective To study the effects of skull repair at different times on nerve function and cerebral blood flow in patients with severe craniocerebral injury.Methods A total of 80 patients with severe craniocerebral injury in the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from January 2021 to July 2023 were randomly divided into the conventional group(40 cases)and the study group(40 cases).The conventional group received skull repair 3-6 months after decompressive craniotomy(DC),and the study group received skull repair 4-6 weeks after DC surgery.Study data were collected and compared between the two groups with postoperative cerebral blood flow status,complications,neurological function and daily living ability.Results After surgery,the blood flow velocity of posterior cerebral artery(PCA),middle cerebral artery(MCA)and anterior cerebral artery(ACA)were higher than those in conventional group(P＜0.05).After surgery,the National Institutes of health stroke scale(NIHSS)score of the study group was lower than that of the conventional group(P＜0.05).After operation,the Barthel index(BI)score of the study group was higher than that of the conventional group(P＜0.05).The incidence of complications in the conventional group and the study group was 10.00％and 12.50％,respectively,and there was no statistical difference between the two groups(P＞0.05).Conclusion Skull repair 4-6 weeks after DC surgery can better improve cerebral blood flow status in patients with severe craniocerebral injury,promote neurological function recovery,improve daily living ability,and have high safety and clinical value.
关键词
颅骨修补/颅脑损伤/脑血流状态/不同时机/神经功能/日常生活能力
Key words
skull repair/craniocerebral injury/cerebral blood flow status/different times/nerve function/ability of daily living
维普
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