持续有创颅内压监测在颅脑损伤术后的应用价值  

Clinical application of invasive intracranial pressure continuous monitoring after craniocerebral injury operation

作　　者：石碑田 肖波[1] 周小舟[1] 王建东 李心伟 林宁[1] SHI Beitian;XIAO Bo;ZHOU Xiaozhou(Department of Neurosurgery,Chuzhou First People9 s Hospital,Chuzhou 239000,Chin)

机构地区：[1]安徽省滁州市第一人民医院神经外科,239000

出　　处：《安徽医学》2018年第8期926-928,共3页Anhui Medical Journal

基　　金：滁州市科技指导性计划项目(项目编号:201501)

摘　　要：目的探讨持续有创颅内压监测在颅脑损伤术后的应用价值。方法选择2015年10月至2017年8月滁州市第一人民医院神经外科行手术治疗的56例颅脑损伤患者为研究对象,简单随机分为观察组与对照组,每组28例。观察组采用颅内监护仪行颅内压监测,对照组采用传统方法,比较两组患者重残率、病死率及KPS功能状态评分。结果观察组重残率及病死率(17.86%)低于对照组(42.86%),出院3个月后的KPS功能状态评分高于对照组,两组差异有统计学意义(P<0.05)。结论在颅脑损伤患者的临床治疗中,持续有创颅内压监测起到了积极作用,有助于降低患者的重残率、病死率,并改善预后。Objective To investigate the clinical value of invasive intracranial pressure continuous monitoring in postoperative craniocerebral injury. Methods Fifty - six cases of patients with craniocerebral injury from Oct 2015 to Aug 2017 in this hospital were se-lected and divided into observation group and control group randomly （28 cases in each）. The observation group was applied Codman monito-ring and the control group received traditional method. Then the rate of severe disability/mortality and Kamofsky （ KPS） functional status score were explored in two groups. Results The rates of severe disability and mortality were significantly lower in observation group （1 7. 86% ） than in control group（42. 86% ） , and the KPS functional status score was significantly higher in observation group than in control group after three months, and the difference was statistically significant （ P 〈 0 .0 5 ）. Conclusion The continuous invasive intracranial pres-sure monitoring plays an active role in clinical treatment, helping to reduce the rate of severe disability and mortality and improve prognosis.

关 键 词：颅内压监测 颅脑损伤 重残率 病死率 预后 

分 类 号：R651.15[医药卫生—外科学]