Objective:To investigate the effect of controlled stepped intracranial decompression in the treatment of severe craniocerebral injury.Method:The clinical data of 220 patients with severe craniocerebral injury who treated in Beijing Jingcheng Bo'ai Hospital from January 2021 to February 2023 were collected for retrospective study,the patients were divided into the reference group(conventional decompression,n=100)and the study group(controlled stepped intracranial decompression,n=120)according to the different surgical methods.The related surgical indexes,brain metabolism indexes,prognosis and complications were compared between two groups.Result:Compared with the reference group,the intraoperative blood loss and Mannitol consumption in the study group were less,and the operation duration was shorter,the differences were statistically significant(P<0.05).The cerebral oxygen saturation and arterial partial pressure of oxygen in the study group after operation were higher than those in the reference group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Compared with the reference group,the postoperative recovery rate of the study group was higher,the moderate and severe disability rate and plant survival rate were lower,and the differences were statistically significant(P<0.05).Conclusion:In the clinical treatment of patients with severe craniocerebral injury,controlled stepped intracranial decompression can effectively improve the surgical effect,reduce postoperative complications,and promote the improvement of patient prognosis.
关键词
重型颅脑损伤/控制性阶梯式颅内减压术/并发症/预后
Key words
Severe craniocerebral injury/Controlled stepped intracranial decompression/Complications/Prognosis
维普
万方数据