Clinical Efficacy Study of Controlled Stepwise Decompression for Treat-ment of Heavy Craniocerebral Injury
Objective To explore the clinical efficacy of controlled stepped decompression in patients with severe brain injury.Methods 90 patients with severe craniocerebral injury admitted to Jiangsu Shengze Hospital from Sep-tember 2016 to September 2023 were selected as the research objects,which were divided into control group and ob-servation group according to different surgical types.Forty-five patients with standard large bone flap decompression were in the control group,and another Forty-five patients were treated with controlled stepped decompression as the observation group.The intracranial pressure and blood supply of the two groups were compared,and the prognosis and occurrence of complications were evaluated by multiple scales.Results The intracranial pressure of the postoperative observation group was significantly lower than that of the control group,while the blood oxygen saturation and arterial blood oxygen partial pressure were higher than those of the control group,and the differences were statistically signifi-cant(all P＜0.05);the Glasgow Coma Scale and Activities of Daily Liviing in the observation group were higher than those of the control group,and the National Health Center Stroke Scale was lower than that of the control group,and the differences were statistically significant(all P＜0.05);the incidence of postoperative complications in the observa-tion group was 6.67%,lower than 22.22%in the control group,and the difference was statistically significant(x2= 4.056,P＜0.05).Conclusion Patients with severe craniocerebral injury need timely treatment.Controlled step decom-pression can quickly control the condition,improve the blood supply of brain tissue,promote the patients to be awake,prevent nerve defects and complications,and maintain a normal life.
万方数据
维普
