Effectiveness and Safety of Pressure Dressings on Reducing Subdural Effusion After Decompressive Craniectomy
2021
Objective Decompressive craniectomy as a treatment is often used in the rescue treatment of
critically ill patients in neurosurgery; however, there are many complications after
this operation. Subdural effusion is a common complication after decompressive craniectomy.
Once it occurs, it can cause further problems for the patient. Therefore, the purpose
of this study was to explore the safety and effectiveness of pressure dressings for
subdural effusion after decompressive craniectomy.
Methods Patients who underwent decompressive craniectomy in our hospital from January 2016
to January 2021 were included in this study, and all patients were followed up for
6 months or more. After the operation, the patients were divided into two groups according
to whether they received a pressure dressing or a traditional dressing. Subdural effusion,
cerebrospinal fluid leakage, hydrocephalus and other complications were compared between
the two groups, and the differences in hospital duration, cost and prognosis between
the two groups were analyzed.
Results A total of 123 patients were included in this study. Among them, 62 patients chose
pressure dressings, and 61 patients chose traditional dressings. The incidence of
subdural effusion in the pressure dressing group was significantly lower than that
in the traditional dressing group (P<0.05). There was no difference between the two
groups in cerebrospinal fluid leakage and hydrocephalus (P > 0.05). In addition, the
length of hospital stay and the total cost in the pressure dressing group were significantly
lower (P<0.05).
Conclusion Pressure dressing can effectively reduce the occurrence of subdural effusion after
decompressive craniectomy, and it does not increase the occurrence of other cerebrospinal
fluid-related complications.
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