The effects of cranioplasty different timing on cerebral hemodynamics,neurological function and prognosis of patients with severe traumatic brain injury
Objective To investigate the effects of cranioplasty different timing on cerebral hemodynamics,neurological function and prognosis of patients with severe traumatic brain injury(STBI).Methods Ninety STBI patients who underwent skull repair in our hospital from July 2020 to June 2022 were selected.The patients were divided into an early group and a control group by using random number table method,45 in each group.Cranioplasty was performed in the early group and the control group within 4-6 weeks and 3-6 months after decompressive craniectomy(DC),respectively.The neurological function,mental state,ability of daily living,cerebral hemodynamic indexes such as blood flow velocity of anterior cerebral artery(ACA),middle artery(MCA)and posterior artery(PCA)as well as complications of the patients in two groups was observed before and after 3 months of operation.Results After 3 months of operation,mRS score,NIHSS score and complication rate in the early group were lower than those in the control group.The blood flow velocity of ACA,MCA and PCA,MMSE score and BI score in the early group were higher than those in the control group(P<0.05).Conclusions Compared with skull repair within 3 to 6 months after DC surgery,skull repair performed within 4 to 6 weeks after DC surgery can effectively restore the nerve function of STBI patients,improve the cerebral hemodynamics,significantly boost their mental status,and significantly improve their daily living ability.Its safety is also high.
Different timingCranioplastySevere traumatic brain injuryNeurological functionCerebral hemodynamicsPrognosis
NETL
NSTL
万方数据
