| Objective: To evaluate the effect of standard trauma craniectomy(STC) on the conscious disturbance recovery in traumatic multiple intracranial hematoma(TMIH) patients with multiple barriers within one month after surgery.Methods: Clinical data of TMIH patients with surgical treatments from September 2013 to September 2015 were collected. The patients who dead within one month after surgery, could not be contacted or diagnosed with space-occupying lesions were excluded. According to surgical procedures, the patients were classified as STC group(standard trauma craniectomy group) or control group(conventional craniotomy surgery). For each group, 50 cases were randomly selected. Using repeated measurement of variance analysis and Wilcoxon rank sum test, the changes of Glasgow coma scale(GCS) were analyzed in 24 hours, one week and one month after surgery.Results: There were significant GCS changes at different time points(P<0.05) by the Comprehensive analysis of postoperative time factor and operation factor, which means that GCS score showed a trend of gradually increase, Along with postoperative time growth. The postoperative time factor shows a different effect to the two Operation method. But the Operation method shows no significant GCS changes(P> 0.05). The different operative methods for GCS score overall recovery trend is the same, but at different time points GCS score recovery with differences between different operative methods. By Wilcoxon rank sum test analysis, rates of GCS changes were significantly different in STC group and control group(P<0.01)at the time points of 24 hours and 1 week after surgery. But for 1 month after surgery, the rates were not significantly different between the two groups(P>0.05).Conclusions: Compared with that in control group, the recovery of conscious disturbance in patients of STC group is advantageous in the 7 days after surgery. but there is no advantage in 1 month after surgery. |
PDF Full Text Request