颅内压监测下刺激性医疗行为对颅内压的影响  

Effect of stimulative medical behavior on intracranial pressure guided by ICP monitoring

作　　者：刘保华[1] 熊方令[1] 高行德[1] 张建永[1] 蔡旺[1] 

机构地区：[1]江苏宿迁市人民医院神经外科,223008

出　　处：《临床神经外科杂志》2012年第5期288-289,共2页Journal of Clinical Neurosurgery

摘　　要：目的探讨刺激性医疗行为对颅内压的影响。方法分析我科颅内压监测的31例患者颅内压数值在不同刺激性医疗行为下的具体变化。结果本组患者静脉穿刺及肌肉注射诱发颅内压升高分别为(3.57±1.08)mmHg和(3.18±1.08)mmHg,气管插管、气管切开、拍背、吸痰诱发颅内压增高分别为(8.33±1.37)mmHg、(9.38±1.92)mmHg、(8.54±2.03)mmHg、(8.67±1.41)mmHg。结论轻度刺激可以引起颅内压升高3～5 mmHg,重度刺激可引起颅内压升高6～10mmHg,避免过度刺激,轻度操作,有利于减少颅内压波动。Objective To elucidate the effect of stimulative medical behavior on intracranial pressure （ICP） guided by ICP monitoring. Methods The effects of different stimulative medical behavior of 31 patients on ICP guided by ICP monitoring were analyzed prospectively. Results In this group of patients, peripheral venipuncture and intramuscular injection induced increasing ICP by（3. 57±1.08 ） mmHg and （ 3.18 ±1.08 ） mmHg clapping back or sputum suction induced mmHg, the （ 8.54 ± 2.03 ） mmHg and stimulation can increase ICP by 3 -5 respectively, and the tracheal intubation,tracheo-tomy, increasing ICP by （8.67 ±1.41） mmHg （8.33 ±1.37 ） mmHg （9.38 ± 1.92） mmHg respectively. Conclusions Mild and severe stimulation can increase ICP by 6 - 10mmHg Avoiding over-stimulation and mildly clinical interventions could help reduce ICP fluctuations

关 键 词：医疗行为 刺激 颅内压监测 

分 类 号：R651.1[医药卫生—外科学]