重庆医学2017，Vol.46Issue(20)：2755-2757,3.DOI:10.3969/j.issn.1671-8348.2017.20.006
有创颅内压监测在儿童重型颅脑创伤中应用价值的研究
Study on application value of invasive intracranial pressure monitoring in children with severe craniocerebral trauma
摘要
Abstract
Objective To explore the application value of invasive intracranial pressure (ICP) monitoring in children with severe traumatic brain injur (sTBI).Methods A total of 158 children with sTBI in our hospital from January 2012 to March 2015 were collected and retrospectively analysed.According to whether the child recieved invasive ICP monitoring or not,they were divided into the monitoring group (80 cases) and the control group (78 cases).Children in the monitoring group were embed of invasive ICP monitoring device within first 24 h after surgery,and were treated with appropriate measures according to the ICP level.In the control group,the determination of whether needing to recieve head CT and adjusting the treatment program was made based on the clinical symptoms and surgeon′s experiences.The prognosis of children in the two groups were evaluated by Glasgow coma scale (GOS) and compared at 3 months after injury.At the same time,the prognosis of children in the monitoring group with different ICP levels were compared.Results The favorable prognosis rates in the monitoring group and control group were 61.2% and 41.0% respectively,and there was statistically significant difference between the two groups(P<0.05).The mortality rates of children in the monitoring group had statistical difference among different ICP levels(P<0.05).Conclusion For children with sTBI,the invasive ICP monitoring is contribute to dynamically observing the changes in ICP,early detecting changes of conditions,guiding clinical treatment,and improving the prognosis.关键词
儿童/颅脑损伤/有创颅内压监测Key words
children/craniocerebral trauma/invasive intracranial pressure monitoring分类
医药卫生引用本文复制引用
王文磊,许峰,李芳..有创颅内压监测在儿童重型颅脑创伤中应用价值的研究[J].重庆医学,2017,46(20):2755-2757,3.基金项目
国家自然科学基金资助项目(81401236). （81401236）
