The Effect of Cranial Repair after Decompressive Craniectomy for Intracerebral Hemorrhage
Objective:To investigate the effect of cranial repair after decompressive craniectomy.Method:A total of 86 patients with intracerebral hemorrhage undergoing decompressive craniectomy and skull repair were selected from the Fourth Affiliated Hospital of Nanchang University from January 2021 to June 2023.According to the repair time,43 cases in the control group received skull repair at 3-6 months after decompressive craniotomy,and 43 cases in the observation group received skull repair at ≥1 month and<3 months after decompressive craniotomy.The clinical efficacy,clinical indexes,complication rate,pain degree,craniocerebral indexes and stress indexes were compared between the two groups.Result:The total effective rate of observation group was higher than that of control group (P<0.05).6 months after operation,NIHSS score and mRS score in observation group were lower than those in control group,GOS score and MMSE score were higher than those in control group (P<0.05).The complication rate of observation group was lower than that of control group (P<0.05).The headache VAS scores of the observation group at 3,5 and 7 days after operation were lower than those of the control group (P<0.05).The abnormal index of intracranial pressure and cerebral perfusion at 24 h after operation in the observation group were lower than those in the control group (P<0.05).The levels of cortisol,IL-6 and TNF-α in observation group were lower than those in control group 24 h after operation (P<0.05).Conclusion:Skull repair at ≥1 month and<3 months after decompressive craniectomy for intracerebral hemorrhage can reduce the stress response of the body,and improve the craniocerebral indicators and prognosis.
Intracerebral hemorrhageDecompressive craniectomySkull repairBrain indicatorsStress index
万方数据
维普
