ICP在神经外科重症患者治疗中的应用效果研究  

Study on the application effect of ICP in the treatment of severe neurosu rgical patients

作　　者：何立建 张国庆 胡飞 HE Lijian;ZHANG Guoqing;HU Fei(People’s Hospital of Qiannan Buyi and Miao Autonomous Prefecture,the First Affiliated Hospital of Qiannan Ethnic Medicine College,Duyun,Guizhou 558000,China;People’s Hospital of Qiannan Buyi and Miao Autonomous Prefecture,Duyun,Guizhou 558000,China)

机构地区：[1]贵州省黔南布依族苗族自治州人民医院,黔南民族医学高等专科学校第一附属医院,贵州都匀558000 [2]贵州省黔南布依族苗族自治州人民医院,贵州都匀558000

出　　处：《当代医药论丛》2023年第20期32-34,共3页

摘　　要：目的:探讨颅内压监测(ICP)在神经外科重症患者治疗中的应用效果。方法:纳入2022年3月至2023年2月贵州省黔南布依族苗族自治州人民医院神经外科重症监护病房收治的急性重型颅脑损伤者80例为研究对象,随机分为研讨组与常模组,每组各40例。给予常模组去大骨瓣开颅减压术及药物治疗,研讨组则在常模组的基础上增加ICP以指导临床治疗。对比两组的临床预后﹝术后30 d的格拉斯哥昏迷评分法(GCS)评分、改良Rankin评量表(mRS)评分﹞及远期预后﹝术后6个月的Barthel指数(BI)评分、格拉斯哥预后量表(GOS)评分﹞。结果:两组术后30 d的GCS评分均较治疗前升高,且研讨组高于常模组,两组术后30 d的mRS评分均较治疗前降低,且研讨组低于常模组(P<0.05)。术后6个月,两组的BI评分、GOS评分均较治疗前升高,且研讨组均高于常模组(P<0.05)。结论:通过ICP指导急性重型颅脑损伤的治疗效果显著,能有效改善患者的临床预后及远期预后。Objective:To investigate the application effect of intracranial pressure monitoring(ICP)in the treatment of severe neurosurgical patients.Methods:A total of 80 patients with severe acute craniocerebral injury admitted to the Neurosurgery Intensive care unit of the People’s Hospital of Qiannan Buyi and Miao Autonomous Prefecture of Guizhou Province from March 2022 to February 2023 were included as the study objects,and were randomly divided into the study group and the normal model group,with 40 cases in each group.The normal group was given large craniotomy decompression and drug treatment,and ICP was added to the normal group to guide clinical treatment.The clinical prognosis(Glasgow Coma Scale(GCS)score,Modified Rankin Scale(mRS)score at 30 days after surgery)and long-term prognosis(Barthel Index(BI)score,Glasgow Prognosis Scale(GOS)score at 6 months after surgery)were compared between the two groups.Results:The GCS score 30 days after surgery in both groups was higher than that before treatment,and the mRS Score 30 days after surgery in both groups was lower than that before treatment,and the Mrs Score in the study group was lower than that in the normal group(P<0.05).Six months after surgery,BI score and GOS score in both groups were higher than before treatment,and the study group were higher than normal group(P<0.05).Conclusion:ICP is effective in the treatment of acute severe craniocerebral injury,and can effectively improve the clinical prognosis and long-term prognosis of patients.

关 键 词：颅内压监测 神经外科重症 急性重型颅脑损伤 预后 

分 类 号：R741.05[医药卫生—神经病学与精神病学]