ICP监测在高血压脑出血微创治疗中的指导价值  

Guiding Value of ICP Monitoring in Minimally Invasive Treatment of Hypertensive Intracerebral Hemorrhage

作　　者：黎文汉 罗斌[1] 王玉波[1] LI Wenhan;LUO Bin;WANG Yubo(Department of Neurosurgery,Tianjin Huanhu Hospital,Tianjin 300350,China)

机构地区：[1]天津市环湖医院神经外科,天津300350

出　　处：《继续医学教育》2023年第9期181-184,共4页Continuing Medical Education

摘　　要：目的探讨给予高血压脑出血患者微创治疗过程中行颅内压(intracranial pressure,ICP)监测的价值。方法选取天津市环湖医院在2021年4月至2022年5月收治的66例高血压脑出血患者分为两组,对照组患者术中通过普通技术完成血肿穿刺操作,观察组术中行ICP监测,观察患者血肿抽吸量、并发症、术后住院时间等情况。结果观察组术中血肿抽吸量与初始量对比的体积比相比对照组均显著更低,差异有统计学意义(t=13.520、12.703,P<0.05);观察组平均血肿清除时间、术后住院时间相比对照组均显著更短,差异有统计学意义(t=5.527、13.229,P<0.05);观察组术后相关并发症总发生率为15.15%,对照组为36.36%,组间比较差异有统计学意义(χ^(2)=3.882,P<0.05)。结论高血压脑出血患者微创手术治疗期间行ICP监测,可有效提高手术治疗效果及安全性,减少患者术后并发症,有助于患者术后更快康复。Objective To evaluate the value of intracranial pressure(ICP)monitoring during minimally invasive treatment of hypertensive intracerebral hemorrhage.Methods Sixty-six patients with hypertensive intracerebral hemorrhage admitted to Tianjin Huanhu Hospital from April 2021 to May 2022 were divided into two groups,the patients in the control group underwent hematoma puncture by common technique,ICP monitoring was performed in the observation group.The amount of hematoma aspiration,the occurrence of complications and the length of hospital stay were observed.Results The volume of hematoma aspiration and initial volume in the observation group were significantly lower than those in the control group,the difference was statistically significant(t=13.520、12.703,P<0.05);the average hematoma clearance time and hospitalization time in the observation group were significantly shorter than those in the control group,the difference was statistically significant(t=5.527、13.229,P<0.05);the total incidence of postoperative complications was 15.15%in the observation group and 36.36% in the control group,there were significant differences between groups(χ^(2)=3.882,P<0.05).Conclusion ICP monitoring is performed in hypertensive intracerebral hemorrhage patients during minimally invasive surgery,can effectively improve the curative effect and safety of operation,reduce the complications after operation,and help the patients recover faster after operation.

关 键 词：高血压脑出血 微创手术 颅内压 血肿量 并发症 术后住院时间 

分 类 号：R605[医药卫生—外科学]