脑室内置管监测颅内压在老年颅脑损伤救治中的意义  

Explore the significance of ventricle tube monitoring intracranial pressure on treating early craniocerebral injury

作　　者：巩麦林[1] 鲍洪[1] 丁轩[1] 

机构地区：[1]广东省珠海市人民医院神经外科,广东珠海519000

出　　处：《吉林医学》2015年第15期3215-3216,共2页Jilin Medical Journal

摘　　要：目的:探讨并评价脑室内置管监测颅内压对救治老年颅脑损伤的意义。方法:依据纳入排除标准,选取93例老年颅脑损伤患者为临床研究对象。根据患者实际情况进行救治,并采用脑室内置管监测颅内压。救治前对患者做出GCS评分并进行统计,治疗后对患者进行回访,采用GOS评分标准对患者的死亡率以及救治后恢复情况进行分析探讨。结果:治疗后93例患者的GOS评分:5分34例(36.6%),死亡例数22例(23.7%)。其中颅脑损伤为中型的患者29例中有11例(37.9%)颅内压测量值较低,预后患者有12例(41.4%)为良好,与测量值相关性较大;重型患者43例中有23例(53.5%)颅内压测量值较高,预后3例(7.0%)为植物人状态,21例(48.8%)死亡。轻型患者颅内压20 mm Hg(1 mm Hg=0.133 3 k Pa)以下14例(66.7%)与重型2例(4.7%)比较差异显著,有统计学意义(P<0.05)。重型患者预后17例(39.5%)残疾,轻型患者1例(9.5%)残疾,组间差异显著,有统计学意义(P<0.05)。结论:颅内压测量值与预后恢复呈负相关。通过脑室内置管监测颅内压对救治老年颅脑损伤的有重要意义,能够及时有效的监测出患者的颅内压情况,有利于及时对患者对症抢救,具有极高的临床应用价值。Objective To explore and evaluate the significance of ventricle tube monitoring intracranial pressure on treating early cranio- cerebral injury. Method According to the inclusion and exclusion criteria, 93 cases elderly craniocerebral injury patients were seleetied as clinical research object. They achieved treatment according to the actual situation, and used ventricle tube monitoring intracranial pres- sure. Before treatment, did GCS score and made statistics for patients,paid a return visit to the patients after treatment, it was analyzed and ex- plored the death rate and recovery by using the standard of GOS score. Results After the treatment of 93 cases of patients ＇GOS score ：34 ca- ses 5 points （36. 6% ） ,22 eases death （23.7%）. There were 11 cases （37.9%） intraeranial pressure measurement value was low in 29 se- vere brain injury, 12 patients＇ （41.4%） prognosis of patients were good,it had relative between larger measurement ;23 cases （53.5%） had higher values of measuring intracranial pressure during severe 43 patients, 3 cases （7.0%） were the plant state, 21 cases （48. 8% ） died. There were 14 （66. 7% ） cases ＇intracranial pressure below 20 mm Hg, compared to severe 2 cases （4. 7% ） ,there was a certain statisti- cal significance （P 〈 0. 05 ）. There were 17 patients＇ prognosis were severe disability （39. 5 % ）, 1 case light （9. 5 % ） patients with disability, the differences between groups were statistically significant （ P 〈 0. 05 ）. Conclusion Intracranial pressure measurement was negatively corre- lated with prognosis of recovery. Intraeranial pressure monitoring has important significance for the treatment of elderly craniocerebral injury by intraventrieular built -in tube,it can be timely and effective monitoring of patients＇ intracranial pressure,it is helpful to the timely rescue, it has high value in clinical application.

关 键 词：脑室内置管 颅内压 老年颅脑损伤 

分 类 号：R651.15[医药卫生—外科学]