Therapeutic effect of standard decompressive craniectomy on severe craniocerebral injury

Abstract

Objective To investigate the clinical effect of standard decompressive craniectomy on severe craniocerebral injury. Methods A total of 72 cases with severe craniocerebral injury hospitalized in the Second People’s Hospital of Changzhi from June 2014 to June 2016 were selected and were allocatedb divided into two groups according to their treatment protocols. Thirty-six patients who were given conventional decompressive craniectomy were allocated into control group. while 36 were treated by standard decompressive craniectomy were allocated into experimental group. Then the surgical effect, indicators of blood biochemistry and blood gas of the two groups were assessed. Results The levels of creatine phosphocreatine kinase (CPK), platelet, intracranial pressure, partial pressure of carbon dioxide in artery (PaCO2) in both groups were lower than those before operation; while pH, partial pressure of oxygen (PaO2) in both groups were higher than those before operation; and the CPK, intracranial pressure, PaO2 and PaCO2 in experimental group were better than those in control group, the difference were statistically significant (P<0.05). The incidence of postoperative complications in experimental group was lower than that in control group (5.6% vs. 25.0%), the difference was statistically significant (P<0.05). Conclusions Standard decompressive craniectomy is effective for severe craniocerebral injury. It can reduce postoperative complications and improve the blood biochemical and blood gas indexes of patients, which is worthy of clinical application. Key words: Severe craniocerebral injury; Decompressive craniectomy; Blood biochemistry; Blood gas analysis