马金良??李振举??张弘

[摘要] 目的 研究早期顱骨修补应用于脑外伤治疗中的效果。 方法 将2010年3月～2015年3月在我院接受治疗的脑外伤患者60例纳入到本次研究，根据随机数字表法将上述脑外伤患者分为两组，分别为早期组30例和常规组30例。常规组采用常规颅骨修补手术进行治疗；早期组应用早期颅骨修补术进行治疗。就两组患者手术操作所需时间、手术过程出血总量、手术前后神经功能缺损情况、日常生活活动能力状况、生存质量和术后恢复良好率、术后并发症发生率进行比较。 结果 早期组患者手术操作所需时间、手术过程出血总量稍少于常规组，但差异无统计学意义（P>0.05）。两组术前神经功能缺损情况、日常生活活动能力状况、生存质量差异无统计学意义（P>0.05）。早期组患者术后神经功能缺损情况、日常生活活动能力状况、生存质量改善程度均高于常规组（P<0.05）。早期组术后恢复良好率为93.33%，明显优于常规组76.67%的复良好率，术后并发症发生率为6.67%，低于常规组26.67%的术后并发症发生率（P<0.05）。 结论 早期颅骨修补应用于脑外伤治疗中的效果确切，可有效改善患者神经功能，提高其日常生活活动能力，降低致残率，减少并发症的发生，对患者生存质量的提升意义重大，值得推广。

[关键词] 早期颅骨修补；脑外伤；日常生活活动能力；神经功能缺损评分

[中图分类号] R651.1 [文献标识码] B [文章编号] 2095-0616（2016）20-148-04

Effect of early cranial bone repair in treatement of brain trauma

MA Jinliang LI Zhenju ZHANG Hong

Department of Neurosurgery，FAW General Hospital，Changchun 130011，China

[Abstract] Objective To explore the effect of early cranial bone repair in treatement of brain trauma. Methods 60 cases of brain trauma patients cured in our hospital from March 2010 to March 2015 were selected as the study objects. According to random digital method， they were divided into early group and conventional group with 30 cases in each. Patients in conwentional group were treated with conventional skull repair， and patients in early group were treated with early cranial bone repair in treatement of brain trauma. Operation time， total amount of bleeding， postoperative neurological deficits， activities of daily living， quality of life and postoperative recovery rate， and incidence rate of postoperative complications of the two groups were compared. Results Operation time and total amount of bleeding during operation of early group were slightly less than those of conventional group（P>0.05）.There was no significant difference between the two groups in preoperative neurological deficits， activities of daily living and quality of life（P>0.05）.Postoperative neurological deficits， activities of daily living and quality of life of early group were higher than those of conventional group（P<0.05）. Postoperative recovery rate of earley group was 93.33%， which was significantly better than that of conventional group with 76.67%. The postoperative complication rate of early group was 6.67%， which was significantly lower than that of conventional group with 26.67%（P<0.05）. Conclusion Effect of early cranial bone repair in treatement of brain trauma is exact. It can effectively improve the neurological function of patients， improve their daily living activities， reduce disability rate， reduce the incidence of complications， and enhance the quality of life of patients with significant. It is worth promoting.

[Key words] Early cranial bone repair；Brain trauma；Activity of daily living；Nerve function defect score

脑外伤为常见疾病，随着交通事业的发展和交通事故的增多，其发病率逐年升高，具有高致残率和致死率，对患者生命安全造成严重威胁。临床对脑外伤多采取手术治疗，快速清除颅内血肿，降低颅内压，以改善患者临床症状，但容易增大颅骨损伤面积，导致颅腔内微环境受破坏，增加脑脊液量，对患者预后不利[1-2]。因此，需探寻更有效的治疗方法。本研究探讨了早期颅骨修补应用于脑外伤治疗中的效果，现报道如下。