【摘要】 目的探讨预见性早期双侧去骨瓣减压术治疗重型颅脑创伤的临床效果。方法选取我院收治的60例重型颅脑创伤患者,按电脑数字表法随机分为对照组（30例,相继性双侧去骨瓣减压术）和试验组（30例,预见性早期双侧去骨瓣减压术）。比较两组的手术效果。结果术后1、7 d,两组的两组的颅内压、Da-jvO₂均降低,CjvO₂均升高,且试验组均优于对照组（P<0.05）。试验组术后并发症总发生率明显低于对照组（P<0.05）。结论预见性早期双侧去骨瓣减压术有助于改善重型颅脑创伤患者颅内压、脑氧代谢指标,并提升安全性。更多还原

【Abstract】 Objective To analyze the clinical effect of predictive early bilateral decompressive craniectomy in the treatment of severe craniocerebral trauma. Methods A total of 60 patients with severe craniocerebral trauma in our hospital were randomly divided into control group（30 cases, sequential bilateral decompressive craniectomy） and experimental group（30 cases, predictive early bilateral decompressive craniectomy） according to the method of computer digital table. The operation effect of the two groups were compared. Results On the 1st and 7th day after operation, the intracranial pressure and Da-jvO₂ in the two groups decreased, and CjvO₂ in the two groups increased, and those in the experimental group were better than the control group（P<0.05）. The total incidence of postoperative complications in the experimental group was significantly lower than that in the control group（P<0.05）. Conclusion Predictive early bilateral decompressive craniectomy is helpful to improve intracranial pressure, cerebral oxygen metabolism and safety in patients with severe traumatic brain injury.更多还原