颅内压监护在高血压脑出血手术治疗中的应用  

The clinic significance of intracranial pressure monitor for operation in treatment of hypertensive cerebral hemorrhage

作　　者：蔡智基[1] 刘明[1] 吴光辉[1] 林晖[1] 黄培根[1] 

机构地区：[1]福建医科大学附属宁德市医院神经外科,福建宁德352100

出　　处：《中国现代医生》2014年第26期150-152,共3页China Modern Doctor

摘　　要：目的 探讨侧脑室穿刺颅内压监护在高血压脑出血术后治疗中的应用价值。方法 选择我院神经外科2011年1月~2012年11月收治的58例脑出血手术患者,随机分为颅内压监护组（A组）和非颅内压监护组（B组）,比较两组患者的临床资料,随访6个月评估两组患者的预后。结果 A组患者电解质紊乱发生率下降,6个月后的GOS评分升高。但两组术后14 d的死亡率无明显差异（P〉0.05）。结论 高血压脑出血患者术后使用颅内压监护可以动态连续观察颅内压、脑灌注压情况,为临床提供科学准确的客观指标,减少并发症的发生,不增加颅内感染机会,明显改善预后。Objective To investigate the clinic significance of intracranial pressure （ICP） monitor for operation of hy- pertensive cerebral hemorrhage. Methods Fifty-eight patients suffering from hypertensive cerebral hemorrhage from Jan 2011 to Nov 2012 were included,and were divided into two groups, ICP-monitor group（A group） and non-ICP-moni- tor group（B group）. The clinic data of all patients were statistically analyzed and the prognosis was evaluated with six- month follow up period after operation. Results Compared with patients who had ICP monitor post operation, the inci- dence of distance of water and electrolyte reduced significantly in A group; Moreover,the scores of GOS were signifi- cant higher in A group. Nevertheless, there was no significant difference on operative mortality between two groups af- ter operation 14 days. Conclusion The study demonstrates that ICP monitor can guide the clinical therapy, decrease the incidence of complication and improve the prognosis for patients suffered from operation of hypertensive cerebral hem- orrhage.

关 键 词：颅内压监护 脑出血 水电解质紊乱 预后 

分 类 号：R651.1[医药卫生—外科学]