不同包扎方法对标准去骨瓣减压术后患者颅内压的影响  

The Influence of Different Wrap Method on the Intracranial Pressure of Patients after Standard Craniectomy

作　　者：刘博虎 马钢[1] 李俊彦[1] 刘俊[1] 蒲军[2] 岑键昌[1] LIU Bo-hu;MA Gang;LI Jun-yan;LIU Jun;PU Jun;CEN Jian-chang(Dept. of Neurosurgery,The 1st People’s Hospital of Kunming City,Kunming Yunnan 650034;The 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China)

机构地区：[1]昆明市第一人民医院神经外科,云南昆明650034 [2]昆明医科大学第二附属医院,云南昆明650101

出　　处：《昆明医科大学学报》2016年第6期65-68,共4页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81460174);昆明医科大学研究生创新基金资助项目(2013S17)

摘　　要：目的探讨不同包扎方法对重型颅脑损伤去骨瓣减压术后患者颅内压力的影响.方法对36例重型颅脑损伤患者行标准去大骨瓣减压术,术中留置颅内压监护传感器探头,分别于术后即时、术后72 h、术后120h和术后168 h分别采用弹力帽、敷贴2种不同包扎方法,监测并记录颅内压数值.结果术后即时、术后72 h、术后120 h和术后168 h组患者弹力网帽包扎后颅内压较敷贴贴敷均明显增高,差异有统计学意义(P<0.05).结论术后不同时间组弹力网帽包扎后颅内压均较敷贴贴敷增高.Objective To explore the influence of different methods of bandaging on the postoperative intracranial pressure of patients with severe brain injury patients after decompression craniectomy. Methods The standard decompressive craniectomy was use for the 36 cases of severe traumatic brain injury patients, and the intracranial pressure monitoring sensor probe was indwelled in operaion. Two different dressing methods of elasticity mesh cap and applicator were used for the patients respectively at 0h, 72h, 120h and 168h after operation, and the value of intracranial pressure was monitored and recorded. Result The intracranial pressure of elastic cap were significantly higher than the applicator respectively in operation immediate postoperative 72h, 120h and 168h (P<0.05), the difference was statistically significant. Conclusions The intracranial pressure of elastic cap is significantly higher than the applicator at different times after the surgery group.

关 键 词：重型颅脑损伤 标准去大骨瓣减压 包扎方法 颅内压 

分 类 号：R651.1[医药卫生—外科学]