动态监测颅内压在颞叶胶质瘤术后的价值  

Value of dynamical monitoring intracranial pressure in post-operative patients with temporal lobe glioma

作　　者：康睿[1] 陈刚[1] 

机构地区：[1]重庆合川区人民医院急救中心外二科,401520

出　　处：《重庆医学》2013年第32期3887-3888,共2页Chongqing medicine

摘　　要：目的动态监测颞叶胶质瘤患者术后颅内压（ICP）的变化，探讨持续ICP监测在其术后的价值。方法收集该科2011年1～11月的77例颞叶恶性胶质瘤患者（Ⅲ级37例，Ⅳ级40例）术后ICP数值，观察术后ICP变化规律，探讨ICP与术后治疗及预后的关系。结果术后6h内ICP多波动于正常范围（5．76±5．42）mmHg；6～72hICP逐渐升高（10．51±10．21）mmHg；72h后ICP达峰值并趋向稳定（12．25±10．72）mmHg。与其他时间段比较，术后6h内ICP数值最低，差异有统计学意义（P〈O．05）。结论ICP监测能够早于临床观察，及时发现颅内高压，提高了颞叶胶质瘤术后治疗的安全性。Objective To dynamically monitor the changes of intracranial pressure（ICP） in postoperative patients with temporal lobe gliomas,and to explore value of the monitoring. Methods Data of ICP was enrolled in this study from 77 postoperative pa- tients with temporal lobe glioma（WHO HI 37 cases,WHO IV 40 cases） in from January to November 2011,and explore the chan- ging law of ICP and discuss the relationship between ICP and prognosis. Results ICP varied in normal range within 6 h after opera- tion （5.76±5.42） mm Hg,then gradually elevated ater 6--72 h（10.51±10.21） mm Hg,and reached the peak and become stable after 72 h （12.25± 10.72） mm Hg. ICP within 6 h after operation was the lowest（P〈0.05）. Conclusion Intracranial pressure monitoring could discover the ICP before clinical observation,it is valuable to monitor ICP to improve the security of the postopera- tive treatment of temporal lobe glioma.

关 键 词：颅内压 监测 颞叶 胶质瘤 

分 类 号：R739.4[医药卫生—肿瘤]