颅内压监测在颅脑手术后的应用  

The application of the ICP(intracranial pressure) monitoring for patients after craniotomy

作　　者：梁晓中 梁慧 王超国 梁利健 LIANG Xiaozhong;LIANG Hui;WANG Chaoguo(Xinchang Hospital of Traditional Chinese Medicine,Zhejiang 312500,China.)

机构地区：[1]浙江省新昌县中医院

出　　处：《浙江创伤外科》2019年第4期663-665,共3页Zhejiang Journal of Traumatic Surgery

摘　　要：目的探讨颅内压监测在颅脑外伤手术后的应用效果分析。方法选取本院2014年1月至2017年6月收治的54例急诊颅脑外伤手术患者作为研究对象,随机分为ICP监测组和常规治疗组,其中ICP监测组行有创颅内压监测,对照组仅采用脑室外引流手术,不进行颅内压监测。分别对两组患者脱水剂药物使用情况进行比较,并比较两组患者的术后并发症及术后血肿扩大的情况。结果观察组患者甘露醇应用时间及剂量明显少于对照组,且观察组患者中,96.66%的病例发生于起病12小时内,而对照组为70.00%的病例发生于起病12小时,两组比较差异显著(P<0.05);观察组术后并发症发生情况低于对照组,差异具有统计学意义(P<0.05)。结论颅内压监测有助于及时发现颅脑损伤术后颅内压变化以及指导脱水治疗,可以辅助提高颅脑损伤手术患者的预后,因而可以作为临床诊断和治疗的辅助工具。Objective To explore the application effect of intracranial pressure monitoring after craniocerebral operation analysis.Methods From January 2014 to June 2017 54 cases of emergency craniocerebral surgery patients were involved inthe research object,which were randomly divided into ICP monitoring group and conventional treatment group.Inthe ICP monitoring group,the Steven Spielberginvasive intracranial pressure monitoring was used to monitorICP.In the control group,thehematoma drainage tube operation was performed.The use of dehydrating agents,the postoperative complications and postoperative hematoma enlargement in the two groups were compared.Results By comparison,In the observation groupthe mannitol application time and dose weresignificantly less than those in the control group.In the observation group,96.66%cases occurred in the onset of 12h,while in the control group,70%cases occurred in the onset of 12h,there was significant difference between two groups(P<0.05).In the observation group GOS score was better than that in the control group.And the postoperative complicationsin the observation groupweremore lower than those in the control group(P<0.05).Conclusion Intracranial pressure monitoring can help to find the change of intracranial pressure after brain injury,and guide the dehydration treatment,and improve the prognosis and quality of life of patients with craniocerebral injury operation,which can be used as an auxiliary tool for clinical diagnosis and treatment.

关 键 词：颅内压 颅脑损伤 预后 

分 类 号：R651.1[医药卫生—外科学]