重型颅脑外伤术后持续颅内压监测的临床意义  

Clinical Signifi cance of Continuous Intracranial Pressure Monitoring for Patients with Postoperative Severe Traumatic Brain Injury

作　　者：徐清[1] 沈旭明[1] 左刚[1] 许悦[1] 邱玉发[1] 

机构地区：[1]江苏省太仓市第一人民医院神经外科,江苏太仓215400

出　　处：《中国血液流变学杂志》2015年第1期55-57,共3页Chinese Journal of Hemorheology

摘　　要：目的：通过监测重型颅脑外伤患者术后颅内压（ICP）的变化，探讨颅内压监测在重型颅脑外伤术后治疗中的临床意义。方法将2014年2月～2015年2月105例重型颅脑外伤手术患者随机分为2组。颅内压监测组（ICP组）：术中行颅内压监测，术后根据颅内压的变化随时调整治疗方案。对照组：术后根据患者的临床表现及头颅CT调整治疗方案。对2组的脱水药用量、并发症及预后对比分析。结果 ICP组在脱水剂应用时间、剂量及并发症发生率方面均低于对照组，差异有统计学意义（P＜0.05）；ICP组疗效优于对照组，但差异无统计学意义（P＞0.05）。结论重型颅脑外伤患者术后行持续颅内压监测，可以尽早发现病情变化，及时调整治疗措施。对降低并发症、改善预后有重要意义。Objective To explore the clinical significance of intracranial pressure （ICP） monitoring for patients with postoperative severe traumatic brain injury.Methods105 patients with postoperative severe traumatic brain injury were divided into two groups. In intracranial pressure monitoring group, the patients underwent intracranial pressure monitoring during operation, to adjust postoperative treatment according to the changes of intracranial pressure. In control group, postoperative treatment depended on the patient＇s consciousness and skull CTfi ndings and vital signs change to adjust the treatment plan. The medicinal amount of dehydration, complications and prognosis of the two groups were analyzed comparatively.Results The dehydrating agent application time, dose and complication rates in treatment group are lower than the control group. Efficacy is better than the control group.ConclusionEarly continuous monitoring of intracranial pressure for patients with postoperative severe traumatic brain injury may reduce complications and improve prognosis.

关 键 词：重型颅脑外伤 颅内压监测 预后 

分 类 号：R651.15[医药卫生—外科学]