持续性颅内压监测在颅脑外伤治疗的效果探讨  

The Effect of Continuous Intracranial Pressure Monitoring on the Treatment of Craniocerebral Trauma

作　　者：张宁[1] 赵贝贝 张川[1] 吴骆 王杰[1] ZHANG Ning;ZHAO Beibei;ZHANG Chuan;WU Luo;WANG Jie(Department of Neurosurgery,Second Hospital of Huangshi City,Huangshi Hubei 435002,China;General Department,Huangshi Central Hospital,Edong Medical Group,Huangshi Hubei 435002,China)

机构地区：[1]湖北省黄石市第二医院神经外科,湖北黄石435002 [2]鄂东医疗集团黄石市中心医院全科,湖北黄石435002

出　　处：《中国继续医学教育》2020年第8期121-123,共3页China Continuing Medical Education

摘　　要：目的对急性重型颅脑外伤患者在临床治疗中实施持续性颅内压监测的价值进行研究。方法选择本院在2017年8月—2018年8月期间收治的确诊为重型颅脑外伤的患者共计28例作为研究对象,按照硬币法将这些患者划分为两个小组,对照组14例,实验组14例。采用常规治疗方式对对照组加以治疗,采用持续性颅内压监测对实验组加以治疗,对两组患者的治疗效果进行比较。结果对照组的预后神经功能NHISS评分为(15.83±0.31)分、预后GOS评分为(3.19±0.15)分,实验组的预后神经功能NHISS评分为(11.18±0.45)分、预后GOS评分为(4.90±0.17)分。实验组预后神经功能NHISS评分、GOS评分均明显优于对照组,且差异具有统计学意义(P<0.05)。结论在急性重型颅脑外伤患者的临床治疗中应用持续性颅内压监测具有重要作用,其能够对患者的治疗予以有效指导,提升患者的治疗效果。Objective To study the value of continuous intracranial pressure monitoring in clinical treatment of patients with acute severe craniocerebral trauma.Methods A total of 28 patients diagnosed with severe craniocerebral trauma admitted to our hospital from August 2017 to August 2018 were selected as subjects.According to the coin method,these patients were divided into two groups,and the control group was divided into 14 groups.Group 14 cases.The control group was treated with conventional treatment,and the experimental group was treated with continuous intracranial pressure monitoring.The therapeutic effects of the two groups were compared.Results The prognostic neurological function of the control group was(15.83±0.31)points and the prognosis GOS score was(3.19±0.15)points.The prognostic neurological function of the experimental group was(11.18±0.45)points and the prognostic GOS score was(4.90±0.17)points.The prognostic neurological function of NHISS score and GOS score in the experimental group were significantly better than the control group.The difference between the two groups was significant(P<0.05),which was statistically significant.Conclusion The application of continuous intracranial pressure monitoring in the clinical treatment of patients with acute severe traumatic brain injury plays an important role in effectively guiding the treatment of patients and improving the therapeutic effect of patients.

关 键 词：持续性颅内压监测 常规治疗 急性重型颅脑外伤 GOS评分 NHISS评分 效果 

分 类 号：R743[医药卫生—神经病学与精神病学]