有创颅内压监测在老年自发性脑出血中的应用价值分析  

Application Value Analysis of Invasive Intracranial Pressure Monitoring in Senile Spontaneous Cerebral Hemorrhage

作　　者：王丹妹 包双喜 崔阳 WANG Danmei;BAO Shuangxi;CUI Yang(Hebei Yanda Hospital,Sanhe 065201,China;不详)

机构地区：[1]河北燕达医院,河北三河065201

出　　处：《中外医学研究》2023年第27期147-151,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：河北省廊坊市科技自筹项目(2023013070)。

摘　　要：目的:探讨有创颅内压监测在老年自发性脑出血中的应用价值。方法:选取2019年1月—2021年1月河北燕达医院收治的100例老年自发性脑出血患者作为研究对象,根据随机数表法将其分为观察组和对照组,各50例。对照组予以止血、脱水、维持血压稳定、抗感染等治疗,观察组在对照组基础上给予脑室内、脑实质有创颅内压监测,根据监测结果调整药物治疗方案。比较两组甘露醇使用总量、甘露醇使用时间、引流管留置时间、出院格拉斯哥昏迷评分法(GCS)评分、住院时间,记录两组术后1 d、3 d、7 d血肿清除率、颅内压及术后并发症发生情况。结果:观察组甘露醇使用总量较对照组少,甘露醇使用时间、引流管留置时间、住院时间较对照组短,出院GCS评分较对照组高,差异有统计学意义(P<0.05)。观察组术后1 d、3 d、7 d血肿清除率高于对照组,差异有统计学意义(P<0.05)。两组术后1 d、3 d、7 d颅内压比较,差异无统计学意义(P>0.05)。观察组术后并发症发生率(20.00%)较对照组(44.00%)低,差异有统计学意义(P<0.05)。结论:有创颅内压监测用于老年自发性脑出血,有利于减少甘露醇使用量和使用时间,缩短引流管留置时间,改善病情,促进血肿排空和康复,减少术后并发症。Objective:To explore the application value of invasive intracranial pressure monitoring in senile spontaneous cerebral hemorrhage.Method:A total of 100 senile patients with spontaneous cerebral hemorrhage who admitted to Hebei Yanda Hospital from January 2019 to January 2021 were selected as the research objects,they were divided into observation group and control group according to the random number table method,50 cases in each group.The control group was treated with hemostasis,dehydration,maintaining blood pressure stability and anti-infection,the observation group was given invasive intracranial pressure monitoring in the ventricle and brain parenchyma on the basis of the control group,and the drug treatment plan was adjusted according to the monitoring results.The total amount of Mannitol used,the time of Mannitol use,the indwelling time of drainage tube,the Glasgow coma scale(GCS)score at discharge,and the length of hospital stay were compared between two groups.The hematoma clearance rate,intracranial pressure at 1 d,3 d and 7 d after operation and postoperative complications of two groups were recorded.Result:The total amount of Mannitol used in the observation group was less than that in the control group,the time of Mannitol use,indwelling time of drainage tube and hospitalization time were shorter than those in the control group,the GCS score of discharge was higher than that of the control group,and the differences were statistically significant(P<0.05).The clearance rate of hematoma in the observation group at 1 d,3 d and 7 d after operation were higher than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in intracranial pressure between two groups at 1 d,3 d and 7 d after operation(P>0.05).The incidence of postoperative complications in the observation group(20.00%)was lower than that in the control group(44.00%),the difference was statistically significant(P<0.05).Conclusion:Invasive intracranial pressure monitoring in senile

关 键 词：自发性脑出血 有创颅内压监测 甘露醇 血肿 并发症 

分 类 号：R743.34[医药卫生—神经病学与精神病学]