对幕上高血压脑出血患者进行颅内压监护的临床意义  

Clinical Significance of Monitoring Intracranial Pressure in Patients with Supratentorial Hypertensive Hemorrhage

作　　者：张彬[1] 

机构地区：[1]天津市第四医院脑系科,天津300222

出　　处：《神经损伤与功能重建》2007年第4期218-219,共2页Neural Injury and Functional Reconstruction

摘　　要：目的:探讨对幕上高血压脑出血患者行持续动态颅内压(ICP)监护的临床价值。方法:32例幕上高血压脑出血患者随机分为ICP组17例和常规组15例,常规组根据经验进行常规神经外科治疗,ICP组根据ICP的变化随时调整治疗方案。结果:ICP组脱水剂应用时间、剂量及并发症的发生率均低于常规组(P<0.01),预后优于常规组(P<0.01)。结论:对于幕上高血压脑出血患者行持续ICP监护有利于指导和及时调整治疗措施,降低并发症,改善和预测预后。Objective：Clinical significance of continuous monitoring of intracranial pressure （ICP） in patients with supratentorial hypertensive hemorrhage during acute stage has been explored. Methods： Thirty-two patients with supratentorial hypertensive hemorrhage were randomly divided into ICP monitoring and routine treatment groups. In the ICP monitoring group, treatment methods were adjusted according to the changes of ICP, whereas the patients in the routine treatment group were treated with neurosurgical routines based on doctors＇ experiences. Results： Complications were significantly less seen in the ICP monitoring group, and dehydrants were employed for shorter courses and in less dosage than in the routine treatment group with a better prognosis （P〈0. 01）. Conclusion： Continuous ICP monitoring in patients with supratentorial hypertensive hemorrhage is useful in reducing the complications and in improving the prognosis.

关 键 词：幕上高血压脑出血 颅内压 监护 

分 类 号：R741[医药卫生—神经病学与精神病学] R743.34[医药卫生—临床医学]