高血压脑出血患者进行无创颅内压监测的应用价值  

Application Value of Noninvasive Intracranial Pressure Monitoring in Patients with Hypertensive Cerebral Hemorrhage

作　　者：张小盼 ZHANG xiao-pan(Department of Neurosurgery,Shangqiu First People's Hospital,Shangqiu 476000,Henan Province,China)

机构地区：[1]商丘市第一人民医院神经外三科,河南商丘476000

出　　处：《罕少疾病杂志》2022年第12期28-30,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的分析对高血压脑出血患者行无创颅内压检测的临床效果。方法70例高血压脑出血患者随机分为观察组(n=35)和对照组(n=35),其中观察组患者采取颅内压无创检测分析仪进行监测,对照组患者则采取常规监测与治疗。对比分析两组患者治疗前后NICP、CPP和D值,治疗后GOS评分和甘露醇用量,以及术后并发症发生率。结果治疗后观察组患者NICP值、D值和GOS评分显著大于对照组,甘露醇用量和术后并发症发生率显著小于对照组(P<0.05),而CPP值之间的差异则不存在统计学意义(P>0.05)。结论高血压性脑出血患者进行无创颅内压监测,可降低甘露醇用量和并发症发生率,同时还可以有效改善患者预后,应用价值显著高于常规监测,值得临床推广应用。Objective To investigate the application value of noninvasive intracranial pressure monitoring in patients with hypertensive cerebral hemorrhage.Methods 70 patients with hypertensive intracerebral hemorrhage were randomly divided into two groups:observation group(n=35 cases)and control group(n=35 cases).The observation group was monitored by intracranial pressure noninvasive detection analyzer,and the control group was routinely monitored and treated.The NICP,CPP and D values,GOS score and mannitol dosage before and after treatment,as well as the incidence of postoperative complications were compared and analyzed between the two groups.Results After treatment,NICP value,D value and GOS score of observation group were significantly higher than control group,mannitol dosage was significantly lower than control group,the difference was statistically significant(P<0.05),but CPP value of two groups after treatment,there was no statistical significance(P>0.05).In addition,the incidence of postoperative complications in the observation group and the control group was 11.43%and 48.57%,respectively,with statistical significance(P<0.05).Conclusion Non-invasive intracranial pressure monitoring in patients with hypertensive intracerebral hemorrhage can reduce the dosage of mannitol and the incidence of complications,but also effectively improve the prognosis of patients,and its application value is significantly higher than conventional monitoring,which is worthy of clinical application.

关 键 词：高血压脑出血 无创颅内压监测 应用价值 

分 类 号：R743.34[医药卫生—神经病学与精神病学]