摘要
Abstract
Objective To investigate the effect and clinical significance of monitoring in intracranial pressure dynamic changes after traumatic brain injury operation .Methods 200 cases conducted craniocerebral trauma opera‐tion in our hospital from Dec .2012 to Dec .2014 were selected and divided into 4 groups ,with 50 cases in each group ,according to the monitoring results of intracranial pressure (ICP):normal ICP group(A) ,ICP mild increase group(B) ,ICP moderate increase group (C) and ICP severe increase group (D) .Each group was performed the ICP dynamic monitoring .The group A was not given the dehydrating agent treatment ,the group B was given the half dose of dehydrating agent treatment ,and the group C and D were given the full dose of dehydrating agent treatment .The prognosis was compared among 4 groups .The clinical effect and significance of ICP dynamic monitoring was ana‐lyzed .Results The good prognosis rates in the group A ,B ,C and D were 98 .00% ,86 .00% ,70 .00% and 6 .00% re‐spectively ,the differences among 4 groups had statistical significance (P<0 .05) .The ICP in the patients with good prognosis [(16 .76 ± 3 .02) mm Hg ] was less than that in the patients with poor prognosis [(26 .52 ± 3 .90) mm Hg] ,with statistically significant difference (P< 0 .05) .The GOS scores had statistically significant differences a‐mong 4 groups (P<0 .05);ICP and the GOS score showed a negative correlation (r= -0 .521 0 ,P<0 .05) .Conclu‐sion Conducting the ICP dynamic changes monitoring as early as possible could conduce to guide and adjust the treatment method ,increase the clinical effect and contributes to evaluate the prognosis and progress of disease .关键词
颅内压/动态变化监测/颅脑外伤术Key words
intracranial pressure/dynamic change monitoring/craniocerebral trauma
