持续颅内压监护在治疗双额叶脑挫裂伤中的临床应用价值分析  

Clinical Value of Continuous Intracranial Pressure Monitoring in the Treatment of Contusion and Laceration of Bilateral Frontal Lobes

作　　者：林健[1] 杨庆武[1] 刘水源 张永亮[1] 

机构地区：[1]福州市第二医院神经外科,福建福州350007

出　　处：《中外医疗》2017年第29期17-19,共3页China & Foreign Medical Treatment

基　　金：福州市卫生计生系统科技计划项目(2015-Swq8)

摘　　要：目的分析持续颅内压监护在治疗双额叶脑挫裂伤中的临床应用价值。方法使用随机数表法选取该院2014年6月—2017年6月期间进行持续颅内压监护的56例双额叶脑挫裂伤患者作为监护组患者,以该院同时期未进行持续颅内压监护的56例双额叶脑挫裂伤患者作为对照组患者,比较两组患者的格拉斯哥预后(GOS)评分,以此评价治疗效果。结果经过持续颅内压监护的监护组患者出现重度残疾的概率为1.79%,中度残疾的概率为5.36%,良好的概率为92.86%。未经过持续颅内压监护的对照组患者出现重度残疾的概率为14.29%,中度残疾的概率为19.64%,良好的概率为66.07%。两组患者均未出现死亡及植物状态,监护组格拉斯哥预后评分为重度残疾、中度残疾的概率均明显少于对照组的相应评分概率,其评分为良好的概率明显多于对照组对应评分概率,差异有统计学意义(P<0.05)。结论持续颅内压监护在治疗双额叶脑挫裂伤中的临床应用价值较高,能够实时监测患者的颅内压水平并给予相应的护理,为患者提供准确的预后参考,降低死亡与致残率,促进患者拥有良好的预后效果,早日恢复健康,值得进一步推广应用。Objective This paper tries to analyze the clinical value of continuous intracranial pressure monitoring in the treatment of contusion and laceration of bilateral frontal lobes. Methods 56 patients with bilateral frontal brain contusion in this hospital from June 2014 to June 2017 for continuous monitoring of intracranial pressure were selected by random number method as the monitoring group; another 56 patients with bilateral frontal brain contusion in this hospital during the same period without continuous monitoring of intracranial pressure were selected as the control group, and then the prognosis of Glasgow（GOS） score of the two groups were evaluated and the therapeutic effect was compared. Results In the monitoring group with continuous intracranial pressure monitoring, the probability of severe disability was 1.79%, the probability of moderate disability was 5.36%, and the good probability was 92.86%. In the control group without continuous intracranial pressure monitoring, the probability of severe disability was 14.29%, the probability of moderate disability was 19.64%, and the good probability was 66.07%. There were no deaths and vegetative state in two groups. Prognosis Glasgow scores of the monitoring group of severe disability, moderate disability were significantly lower than the corresponding probability of the control group, the score of good probability was higher than that of control group, the difference were statistically significant（P0.05）. Conclusion Continuous monitoring of intracranial pressure in the treatment of bilateral frontal brain contusion and laceration is of high clinical value, which can real-time monitor intracranial pressure in patients and give appropriate care,and provide accurate reference for the prognosis of patients, reduce the mortality and disability rate, with good prognosis effect and quick recovery. Therefore it is worthy of further application.

关 键 词：双额叶脑挫裂伤 持续颅内压监护 临床应用价值 

分 类 号：R5[医药卫生—内科学]