Effect of early cranioplasty on clinical efficacy and adverse reactions in patients with traumatic brain injury

WANG Jian; LIU Aixian; ZHANG Wenyi

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Medical Journal of the Chinese People Armed Police Forces ›› 2023, Vol. 34 ›› Issue (5) : 373-376.

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Effect of early cranioplasty on clinical efficacy and adverse reactions in patients with traumatic brain injury

WANG Jian, LIU Aixian, ZHANG Wenyi

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Abstract

Objective To analyze the effect of early cranioplasty on clinical efficacy and adverse reactions in patients with traumatic brain injury.Methods Ninety-eight patients with traumatic brain injury complicated with skull defect treated in Beijing Rehabilitation Hospital of Capital Medical University from March 2020 to March 2022 were divided into two groups according to the timing of cranioplasty after decompressive craniectomy. Cranioplasty was performed 6 months after operation in the control group and within 3 months after operation in the study group. The incidence of postoperative adverse reactions, cognitive function, neurological function, activities of daily living and quality of life were observed and compared between the two groups.Results The total incidence of adverse reactions in the study group (6.12%) was lower than that in the control group (24.48%). After treatment, the NIHSS score of the study group was lower than that of the control group (15.41±2.62), and the MMSE score of the study group was higher than that of the control group. BI score (84.08±6.28) was higher than that of the control group (71.61±7.42). The scores of social function, physical function, material life and psychological function in the study group were higher than those in the control group, and the scores of KPS and GOS in the study group were higher than those in the control group after treatment.Conclusions Early cranioplasty can effectively improve the cognitive and neurological function of patients, reduce the adverse reactions and improve the prognosis of patients.

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traumatic brain injury / early cranioplasty / clinical efficacy / adverse reactions

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WANG Jian, LIU Aixian, ZHANG Wenyi. Effect of early cranioplasty on clinical efficacy and adverse reactions in patients with traumatic brain injury[J]. Medical Journal of the Chinese People Armed Police Forces. 2023, 34(5): 373-376

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