两种脑室颅内压监测探头在临床特重型颅脑损伤患者中的应用价值对比  

The application value comparison of two kinds of ICP monitoring probe in curing severe craniocerebral injury patients

作　　者：陈喆 

机构地区：[1]广东省潮州市人民医院神经外科,潮州521000

出　　处：《陕西医学杂志》2017年第9期1193-1195,共3页Shaanxi Medical Journal

基　　金：广东省潮州市科技计划项目(201536)

摘　　要：目的:探讨脑室型颅内压(ICP)检测探头和单纯型ICP检测探头在临床特重型颅脑损伤患者中的应用价值。方法:将142例重型颅脑损伤患者根据探头监测方法不同分为研究组和对照组,每组71例,研究组使用脑室型ICP检测探头,对照组使用单纯型ICP检测探头。两组均进行降颅压、机械通气、控制体温、血糖等治疗。比较两组患者甘露醇使用天数、甘露醇使用量、脱水时间、ICU时间、总住院时间及格拉斯哥预后评分(GOS)的差异。结果:研究组使用甘露醇时间比对照组短(P<0.05);研究组平均每位患者使用甘露醇总量比对照组少(P<0.05);研究组脱水时间、ICU时间、总住院时间均比对照组短(P<0.05);研究组GOS预后评分优于对照组(P<0.05)。结论:使用脑室型ICP检测探头对特重型颅脑损伤患者进行颅内压监测对控制颅内高压有积极作用,改善患者预后。Objective：To compare value of brain parenchyma intracranial pressure （ICP） monitoring probe and ventricle ICP monitoring probe for severe craniocerebral injury patients.Methods： 142 cases severe craniocerebral injury patients were divided into research group and control group.Control group were treated with ventricle ICP monitoring probe to monitor ICP, while research group were treated with brain parenchyma ICP monitoring probe.The mannitol treating time, usage, ICU stay time, hospital stay time and Glasgow prognosis score of two groups were compared.Results：The mannitol treating time of research group was shorter than control group（P〈0.05）.The mannitol usage of research group was less than control group （P〈0.05）.The ICU stay time, hospital stay time of research group were shorter than control group（P〈0.05）.The Glasgow prognosis score of research group was better than control group（P〈0.05）.Conclusion：Brain parenchyma ICP monitoring probe could play an important role in monitoring ICP and provide basis for the treatment of severe craniocerebral injury patients, improve prognosis as well.

关 键 词：颅脑损伤/诊断 颅脑损伤/治疗 @颅内压检测 

分 类 号：R651.15[医药卫生—外科学]