有创颅内压监测在DAI患者临床治疗中的意义分析  

Analysis of the invasive intracranial pressure monitoring in patients with DAI significance in clinical treatment

作　　者：刁正文[1] 周长清[1] 张德明[1] 李智慧[1] 

机构地区：[1]四川省雅安市人民医院神经外科,雅安625000

出　　处：《陕西医学杂志》2015年第12期1597-1599,共3页Shaanxi Medical Journal

基　　金：四川省雅安市重点科技计划项目(S1330305)

摘　　要：目的:对有创颅内压监测在弥漫性轴索损伤(DAI)患者中的应用价值进行分析。方法:将60例DAI患者随机分为两组,未接受有创颅内压监测者为对照组,接受有创颅内压监测者为观察组,每组30例。对两组治疗期间接受开颅手术人数,甘露醇的应用时间及应用剂量进行对比,并对患者接受治疗2周内的并发症发生率及接受治疗2周后格拉斯哥昏迷(GCS)评分改善情况进行分析,此外在患者接受治疗4个月后对患者生活能力barthel指数(BI)改善情况进行评价。结果:观察组治疗期间甘露醇应用时间及用量均明显低于对照组(P<0.05),同时观察组治疗2周后GCS评分改善明显优于对照组(P<0.05)。同时观察组2周的治疗时间内并发症发生率也明显低于对照组(P<0.05)。此外两组治疗前BI评分比较无统计学意义(P>0.05),但4个月后随访发现,观察组BI评分明显优于对照组(P<0.05)。结论:有创颅内压监测可有效的提高DAI患者的临床治疗效果。Objective：For detecting invasive intracranial pressure in patients with diffuse axonal injury（DAI）,the application of value analysis.Methods：60patients with DAI were randomly divided into two groups,as did not receive invasive intracranial pressure monitoring for a control,group to undergo invasive intracranial pressure monitoring for the observation group,30 cases in each group.On two groups of treatment during the application time and application of mannitol and comparison between the measured and in patients receiving treatment 2weeks,the incidence of complications and treatment after 2weeks of Glasgow coma score（GCS）to improve the situation is analyzed,and in patients receiving treatment for patients after 4 months living ability to evaluate the barthel index（BI）to improve the situation.Results：Observation group during the time and volume of the usage of mannitol were significantly lower than those in control group（P〈0.05）,and at the same time observer GCS after 2weeks treatment improved significantly better than those in control group（P〈0.05）.An observer at the same time within 2weeks of treatment time complication rates were significantly lower than those in control group（P〈0.05）.In addition,the two groups before treatment BI score was no statistical significance（P〈0.05）,but after 4months followup found that BI score observation group was obviously better than that in control group（P〈0.05）.Conclusion：Invasive intracranial pressure detection can effectively improve the clinical treatment effect of patients with DAI.

关 键 词：弥漫性轴索损伤 @有创颅内压监测 

分 类 号：R742[医药卫生—神经病学与精神病学]