首页|不同时机颅骨修补术对颅脑损伤患者脑血流动力学指标及预后情况的影响

不同时机颅骨修补术对颅脑损伤患者脑血流动力学指标及预后情况的影响

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目的 探讨不同时机颅骨修补术对颅脑损伤患者脑血流动力学指标及预后情况的影响.方法 将 2021 年 10 月至2022 年 10 月我院收治的 60 例颅脑损伤患者随机分为参照组(30 例)和观察组(30 例).两组均接受去骨瓣减压术治疗,参照组于术后 3~6 个月行颅骨修补术,观察组于术后 3 个月内行颅骨修补术.比较两组的脑血流动力学指标及预后情况.结果 术后 1周,观察组血清脑髓鞘碱性蛋白(MBP)、钙结合蛋白β(S-100β)、神经元特异性烯醇化酶(NSE)水平均低于参照组(P<0.05).术后随访 3 个月,观察组预后情况优于参照组(P<0.05).结论 去骨瓣减压术后尽早行颅骨修补术可明显降低颅脑损伤患者血清MBP、S-100β、NSE水平,且患者预后情况更理想.
Impact of Skull Repair Surgery at Different Timing on Cerebral Hemodynamic Indicators and Prognosis in Patients with Craniocerebral Injury
Objective To explore the impact of skull repair surgery at different timing on cerebral hemodynamics indicators and prognosis in patients with craniocerebral injury.Methods 60 patients with craniocerebral injury admitted to our hospital from October 2021 to October 2022 were randomly divided into reference group(n=30)and observation group(n=30).Both groups were given decompressive craniectomy,the reference group underwent skull repair at 3-6 months after surgery,and the observation group underwent skull repair within 3 months after surgery.The cerebral hemodynamic indicators and prognosis were compared between the two groups.Results 1 week after surgery,the serum myelin basic protein(MBP),calcium binding protein β(S-100β)and neuron-specific enolase(NSE)levels of the observation group were lower than those of the reference group(P<0.05).After 3 months of follow-up,the prognosis of the observation group was better than that of the reference group(P<0.05).Conclusions Early skull repair surgery after decompressive craniectomy can significantly reduce the serum MBP,S-100βand NSE levels of patients with craniocerebral injury,with more ideal prognosis of patients.

Craniocerebral injuryDecompressive craniectomySkull repair surgeryTimingCerebral hemodynamicsPrognosis

杜虎、齐晓鑫

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郑州市第十五人民医院神经外科,河南郑州 450041

颅脑损伤 去骨瓣减压术 颅骨修补术 时机 脑血流动力学 预后

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(7)