颅内压监测在颅脑手术后ICU治疗患者中的应用效果观察  

The application effect of intracranial pressure monitoring in patients undergoing ICU after craniocerebral operation

作　　者：阿斯古丽.马木提 欧阳蓓蕾[1] 

机构地区：[1]阿克苏地区第一人民医院重症医学科,新疆阿克苏843000

出　　处：《新疆医学》2017年第8期893-895,共3页Xinjiang Medical Journal

摘　　要：目的研究颅内压(intracranial pressure,ICP)监测对于颅脑手术后住重症监护室(intensive care unit,ICU)治疗患者的应用意义。方法收集2014年1月-2015年12月期间,本院行颅脑手术后住ICU患者42例,随机分为研究组和对照组,每组21例,研究组给予采用动态ICP监测法进行观察,对照组随机并评价其处理情况。结果短期内颅内压升高对预测术后再出血有积极意义。对患者术后第1天脱水前ICP与6个月后的预后关系进行观察,发现颅内压越高,其预后就越差。持续颅内压重度升高是患者预后较差的指标。结论动态监测颅内压能够及时评价患者的病情变化,指导临床正确处理并改善临床预后。Objective To study the significance of ICP monitoring in the treatment of patients who lived in ICU after craniocerebral operation. Methods 42 cases of ICU patients who were carried out operation on the brain in our hospital from January 2014 to December2015 were collected. The dynamic ICP monitoring method was adopted and the effect of treatment was observed and evaluated. Results There were 14 cases of patients with mild ICP elevation,2 cases had moderate elevation in postoperative 24 hours,40 cases（95.24%）were controlled,2 cases（4.76%） died of ineffective treatment after timely detection and effective treatment. There were 33 cases of patients with a GCS less than or equal to 8 after operation,ICP fluctuation of 12 cases were between 10-30 mmHg. Among them,one patient＇s ICP was raised up to 40 mmHg at the second day after operation. There were 4 cases of patients whose ICP increased to 30 mmHg at the third day after operation;There were 3 cases of GSC8 in 9 patients with 6-15 mmHg after operation. Conclusion The dynamic monitoring of intracranial pressure can timely evaluate the patients＇ condition changes,guide the clinical treatment and improve the clinical prognosis.

关 键 词：颅脑手术 颅内压 重症监护室 临床预后 

分 类 号：R473.6[医药卫生—护理学]