Title: Clinical effect and prognosis evaluation of standard large trauma craniectomy combined with intracranial pressure monitoring for severe traumatic brain injury
Abstract: Objective To explore the effect and prognosis of standard large trauma craniectomy combined with intracranial pressure(ICP) monitoring for severe traumatic brain injury(STBI).Methods According to whether received ICP monitoring,80 patients with STBI were randomly and equally divided into two groups.Routine group(n=40) was treated with standard large trauma craniectomy,and monitoring group(n=40) was treated with standard large trauma craniectomy combined with ICP monitoring.The change of intracranial pressure before and after operation,Glasgow coma score(GCS)changes,prognosis and post operative complications were compared.Results The intracranial pressure at 3rd day,7th day after operation in monitoring group was significantly decreased compared to those in routine group(t=2.17,t=7.34,P0.05),and the GCS score were improved in both groups after operation,at 28 th day after operation,monitoring group was improved more obviously than the routine group(t=3.67,P 0.05).The GCS score at 3rd month after operation showed that the prognosis in monitoring group was significantly better than that in routine group(t=2.00,P 0.05).The incidence of electrolyte disturbance in monitoring group and routine group at 6 months after surgery was 33.3%and 60.0% respectively with statistical significant differences(χ~2=4.09,P 0.05).Conclusion Standard large trauma craniectomy combined with ICP can reduced pressure for the treatment of STBI and improve the prognosis.
Publication Year: 2015
Publication Date: 2015-01-01
Language: en
Type: article
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