持续有创颅内压监测对重型颅脑损伤患者救治的临床价值评估  

Clinical Value of Continuous Invasive Intracranial Pressure Monitoring in the Treatment of Severe Craniocerebral Injury

作　　者：张志彬[1] 廖薇[1] 肖柏军[1] 

机构地区：[1]广东省深圳市坪山新区人民医院,广东深圳518118

出　　处：《中国医学创新》2017年第17期67-70,共4页Medical Innovation of China

摘　　要：目的:研究持续有创颅内压监测对重型颅脑损伤患者救治的临床效果。方法:选取2013年1月-2016年12月本院收治的重型颅脑损伤患者100例,根据患者检测颅内压的方法不同分为观察组和对照组,每组50例。观察组予以持续有创颅内压监测,对照组予以传统对颅内压的评定方法,观察两组术后颅内压、术后GCS评分、预后、并发症情况。结果:治疗前两组颅内压比较,差异无统计学意义(P>0.05);术后观察组颅内压均较对照组低,差异均有统计学意义(P<0.05);两组术前、术后第1天、术后第3天GCS评分比较,差异均无统计学意义(P>0.05);术后第7、10天观察组GCS评分均显著高于对照组,差异均有统计学意义(P<0.05);观察组恢复良好率显著高于对照组,观察组死亡率和并发症发生率均显著低于对照组,差异均有统计学意义(P<0.05)。结论:重型颅脑损伤患者采用持续有创颅内压监测,可及时对病情进行评估,改善预后和降低死亡率,对颅脑损伤患者的救治有着重要的价值。Objective： To study the clinical effect of continuous invasive intraerania] pressure monitoring in the treatment of severe craniocerebral injury.Method： A total of 100 cases of severe craniocerebral injury were enrolled in our hospital from January 2013 to December 2016.According to the method of detecting intracranial pressure, the patients were divided into the observation group and the control group, 50 cases in each group,The patients in the observation group were treated with continuous invasive intracranial pressure monitoring.The patients in the control group were treated with traditional intraeranial pressure.The intracranlal pressure, postoperative GCS score, prognosis and complication of two groups were observed.Result： There was no significant difference in intracranial pressure between two groups before treatment （ P〉0.05 ） .After treatment, the intracranial pressures of the observation group were lower than those of the control group （ P〈0.05 ） .Before treatment, after the first and third day, GCS score of the observation group were no significantly higher than those of the control group （ P〉0.05 ） .The third and seven day, GCS scores of the observation group were significantly higher than those of the control group （ P〈0.05 ） .The recovery rate of the observation group was significantly higher than that of the control group, the mortality and the incidence of complications of the observation group were significantly lower than those of the control group, there were statistical significance （P〈0.05） .Conclusion： Continuous invasive intracranial pressure monitoring can be used to evaluate patients＇ condition and improve the prognosis of patients with severe craniocerebral injury.h is of great value in the treatment of patients with craniocerebral injury.The clinical application prospect is broad.

关 键 词：持续有创 颅内压监测 重型颅脑损伤 

分 类 号：R651.15[医药卫生—外科学]