52例大面积脑梗死患者颅内压动态监测的临床分析  

The clinical analysis of 52 cases with large area cerebral infarction patients with intracranial pressure monitoring

作　　者：周映彤[1] 刘李攀 黎罗明[1] 邹达良 

机构地区：[1]广东省中山市陈星海医院,广东中山528415

出　　处：《吉林医学》2017年第1期16-17,共2页Jilin Medical Journal

摘　　要：目的:探讨颅内压动态监测对于大面积脑梗死患者的作用及预后的影响。方法:选取52例急性大面积脑梗死患者的临床资料,根据监测结果,调整治疗方案,观察预后。结果:52例大面积脑梗死患者经颅内压动态监测,观察组28例患者为高颅内压,采用降颅内压治疗,对照组24例患者为正常颅内压,不采用降颅内压治疗,两组患者预后GPC评分比较,差异无统计学意义(P>0.05);观察组患者的死亡率为14.3%,与对照组比较,差异无统计学意义(P>0.05)。结论:颅内压动态监测对于大面积脑梗死患者的治疗具有明确的指导意义,可以最大程度提高预后。Objective To explore the role of intracranial pressure monitoring for patients with large area cerebral infarction and prognosis. Method The clinical data of 52 cases of patients with acute large area cerebral infarction was collected,according to the monitoring results,the treatment plan was adjusted and prognosis was obsered. Results 52 cases of large area cerebral infarction patients with intracranial pressure monitoring,observation group of 28 patients with high intracranial pressure,the lower intracranial pressure treatment,the control group of 24 patients with normal intracranial pressure,did not use drop intracranial pressure treatment,the prognosis of patients with two groups of GPC score comparison,the difference was not statistically significant（ P〈0. 05）; Observation group of patients with a mortality rate of 14. 3%,compared with control group,there was no statistically significant difference（ P〈0. 05）. Conclusion The treatment of patients with intracranial pressure monitoring for large area cerebral infarction has a definite guiding significance,can improve the prognosis to the greatest extent.

关 键 词：大面积脑梗死 颅内压 动态监测 

分 类 号：R743.3[医药卫生—神经病学与精神病学]