Clinical research of improved decompressive craniectomy and standard decompressive craniectomy in the treatment of severe craniocerebral injury

Objective To compare the clinical effects of improved decompressive craniectomy and standard decompressive craniectomy in the treatment of severe craniocerebral injury,to provide reference for optimizing clinical therapeutic regimen.Methods 224 patients with severe craniocerebral injury treated in our hospital from October 2008 to October 2011 were randomly divided into the observation group and the control group,with 112 patients in each group respectively.The observation group was treated with the improved decompressive craniectomy and the control group was treated with the standard decompressive craniectomy.The operative time,intraoperative blood loss,postoperative hospital stay,incidence of operative complications,patients' GCS score and other indicators of the two groups were compared.Results The incidence rate of operative complications was 33.04% in the observation group and 54.46% in the control group,with statistically significant difference between the two groups(χ2 = 8.130,P 0.05).The GCS score were(10.57±1.47) points in the observation group and(8.59±3.20) points in the control group,with statistically significant difference between the two groups(t = 6.659,P 0.05).Conclusion The improved decompressive craniectomy in the treatment of severe craniocerebral injury can effectively improve the prognosis of patients,shorten hospital stay and reduce cost of treatment,thereby worthy of further clinical research and validation.