Effect of standard large trauma craniotomy on neurological function and intracranial pressure in patients with severe traumatic brain injury

Abstract

Objective To observe the effect of standard large trauma craniotomy on neurological function and intracranial pressure in patients with severe traumatic brain injury (STBI). Methods Eighty-two STBI patients treated in hospital from June 2014 to April 2017 were selected, and they were divided into control group and observation group by random number table, with 41 cases in each group. The patients in control group were given routine craniotomy with bone flap, while the patients in observation group were treated with standard large trauma craniotomy. The neurological function, intracranial pressure, complications and prognosis were compared between the two groups. Results After surgery, the NIHSS score and intracranial pressure in the two groups decreased, the NIHSS score and intracranial pressure in observation group [(21.27±3.15) points, (16.64±2.76) mmHg (1 mmHg=0.133 kPa)] were lower those of than control group (P<0.05); the total incidence of complications in observation group was 7.32%, which was lower than that (24.39%) in the control group (P<0.05); the prognosis of observation group was better than that of control group (P<0.05). Conclusions Compared with routine craniotomy with bone flap, standard large trauma craniotomy for STBI patients can improve neurological function better, decrease intracranial pressure, and have less postoperative complications and better prognostic effects, which can be used as effective treatment for STBI. Key words: Severe traumatic brain injury; Standard large trauma craniotomy; Neurological function; Intracranial pressure