中重度颅脑损伤患者应用颅内压监测对判断病情预后和指导治疗的价值  

The value of intracranial pressure supervise in the illness condition and prognosis evaluation for moderate and severe craniocerebral injury

作　　者：陈天宝[1] 甄云[1] 古磊[1] 杨振年[1] 

机构地区：[1]广东深圳市宝安区西乡人民医院脑外科,深圳518102

出　　处：《中国实用神经疾病杂志》2016年第3期10-12,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨颅内压监测对中重度颅脑损伤患者判断病情预后和指导治疗的临床价值。方法选择中重度颅脑损伤患者108例,随机分为研究组和对照组各54例。研究组患者入院后行有创颅内压监护,对照组根据传统方法评估颅内压。比较2组患者GCS评分和GOS评分和并发症发生率,比较不同预后患者的颅内压水平。结果 2组治疗前GCS评分无显著差异(P>0.05),治疗后研究组GCS评分显著优于对照组(P<0.01)。研究组GOS评分显著优于对照组(P<0.05)。研究组并发症发生率显著低于对照组(P<0.05)。不同预后组间颅内压力差异有统计学意义(P<0.01)。结论中重度颅脑损伤患者行颅内压检测可有效判断患者病情并指导治疗,改善患者预后,具有临床应用价值。Objective To study the clinical value of intracranial pressure supervise in the illness condition and prognosis e valuation for moderate and severe craniocerebral injury. Methods A total of 108 moderate and severe craniocerebral injury patients were randomly divided into study group and control group, 54 in each group. The intracranial pressure in control group was measured by routine methods and the intracranial pressure in study group was measured by Invasive intracranial pressure monitoring. The GCS score,GOS score,compliance rate were compared between two groups. The intracranial pressure level was compared between different patients with GOS score. Results There was no significant difference of GCS score between two groups before treatment（P〈0.05）. After treatment,the GCS score in study group was significantly higher than that in control group（P〈0.01）. The GOS score in study group was significantly higher than that in control group（P〈0.05）. The compliance rate in study group was significantly less than that in control group（P〈0.05）. The intracranial pressure level was significantly different between different GOS score groups（P〈0.01）. Conclusion Intracranial pressure supervise is useful in the illness condition and prognosis evaluation for moderate and severe craniocerebral injury,it is worth for clinical application.

关 键 词：中重度颅脑损伤 颅内压监测 预后 

分 类 号：R651.15[医药卫生—外科学]