Application effect analysis of controlling decompression in prevention and treatment of elderly severe craniocerebral injury complicated with cerebral infarction

Objective To evaluate the clinical efficacy of controlling decompression in prevention and treatment of elderly severe craniocerebral injury complicating with cerebral infarction. Methods 80 elderly patients with severe craniocerebral injury admitted into our hospital from March 2010 to June 2013 were randomly divided into two groups.In the observation group(n=41),patients were treated by controlling decompression,while in control group(n=39),standard large trauma craniotomy was adopted.The surgical effect,incidence rate of cerebral infarction,recovery after 6 months,and glasgow outcome scale(GOS) score in both groups were observed and compared. Results The surgical effect and occurrence of cerebral infarction in the observation group were obviously superior to those in the control group(P0.05).The score of GOS after 6 months surgery in the observation group was higher than that in the control group(P0.05).Conclusion Controlling decompression in prevention and treatment of elderly severe craniocerebral injury complicating with cerebral infarction can obtain a satisfactory surgical effect, effectively reduce incidence rate of cerebral infarction,and achieve a good postsurgical recovery,and it is worthy of clinical expansion.