中国实用神经疾病杂志2016,Vol.19Issue(18):1-2,3,3.
高血压脑出血患者应用持续颅内压监测的临床意义
Exploration of continuously monitoring intracranial pressure applied to hypertensive cerebral hemorrhage
何川 1陈慎之 1潘建南 1汪永强1
作者信息
- 1. 广东珠海市第二人民医院神经外科 珠海 519000
- 折叠
摘要
Abstract
Objective To explore the clinical significance of continuously monitoring intracranial pressure on hyperten-sive cerebral hemorrhage(HCH).Methods According to random digital table method,all of 62 HCH cases treated in our hos-pital from April 2014 to April 201 5 were divide into experimental group and control group,31 cases in each group.Besides rou-tine therapy including nurturing nerve,preventing injection and balancing water-electrolyte metabolism,the control group was treated by mannitol,which was modulated based on the results of continuously monitoring intracranial pressure in the experi-mental group.After terminal of treatment,the usage amount of mannitol,incidences of electrolyte disturbance,renal dysfunc-tion and pulmonary infection,the recurrence rate of cerebral hemorrhage and blood pressure control in the two groups were compared.Result The usage amount of mannitol in the experimental group was significantly less than that in the control group,the difference was statistically significant(P <0.05).Compared with the control group,the experimental group showed lower incidences of electrolyte disturbance,renal dysfunction,pulmonary infection and lower recurrence rate of cerebral hemor-rhage,all the differences were significant(P <0.05).The experimental group could control blood pressure better.Conclusion Continuous intracranial pressure monitoring can guide the usage amount of dehydrant,reduce the incidence of complications and improve the prognosis and have a certain effect on the stability of biochemical indices in hypertensive cerebral hemorrhage pa-tients with safety.关键词
高血压脑出血/持续颅内压监测/临床意义Key words
Hypertensive intracerebral hemorrhage/Continuous intracranial pressure monitoring/Clinical significance分类
医药卫生引用本文复制引用
何川,陈慎之,潘建南,汪永强..高血压脑出血患者应用持续颅内压监测的临床意义[J].中国实用神经疾病杂志,2016,19(18):1-2,3,3.