中国现代手术学杂志2018，Vol.22Issue(1)：45-48,4.DOI:10.16260/j.cnki.1009-2188.2018.01.012
有创颅内压监测在重型颅脑损伤手术中的应用研究
The Clinical Application of Continuous Dynamic Invasive Intracranial Pressure Monitoring in Severe Craniocerebral Injury
摘要
Abstract
Objective To explore the clinical effects of continuous dynamic invasive monitoring of intracranial pressure (ICP) in severe craniocerebral injury patients.Methods Retrospective analysis was carried out in 68 severe craniocerebral injury patients treated in Department of Neurosurgery of the First Affiliated Hospital of Hunan University of Chinese Medicine from January,2015 to January,2017.There were 34 cases whose ICP was detected by continuous dynamic invasive pressure monitoring in group A,and another 34 patients detected by lumbar puncture in group B.Results There were 15 and 13 patients underwent craniotomy procedures according to the ICP results respectively in group A and B.In the operated patients,the ICP of group A was significantly lower than that of group B at 1 h,6 h,12 h and 24 h after operation (P ＜0.05).And the postoperative 72 h and 7 d GCS of group A was significantly lower than that of group B (P ＜ 0.01).According to the Glasgow outcome scale(GOS),there were 2 cases of grade Ⅰ,4 cases of GOS Ⅱ,6 cases of grade Ⅲ,15 of gradeⅣ and 7 of grade Ⅴ in group A.And in group B,the number was 3,7,15,6 and 3 respectively (P ＜ 0.05).There were 1 and 2 cases got intracranial infection in group A and B respectively (x2 =0.349,P =0.555).Conclusion It has a significant clinical effect of continuous dynamic invasive intracranial pressure monitoring in the treatment of severe traumatic brain injury,which is worthy of clinical application.关键词
有创颅内压监测/持续动态监测/重型颅脑损伤Key words
invasive intracranial pressure monitoring/continuous dynamic monitoring/severe craniocerebral injury分类
医药卫生引用本文复制引用
余文运,罗刚,喻坚柏..有创颅内压监测在重型颅脑损伤手术中的应用研究[J].中国现代手术学杂志,2018,22(1):45-48,4.基金项目
长沙市科技局2016年度第一批指导性科技计划项目(编号:ZD1601092) （编号:ZD1601092）
