摘要
Abstract
Objective:To study the effect of dynamic intracranial pressure(ICP)monitoring on patients with hypertensive intracerebral hemorrhage undergoing debone bone flap decompressive surgery.Method:A total of 89 patients with HICH undergoing debone bone flap decompressive surgery admitted to Mindong Hospital Affiliated to Fujian Medical University from May 2021 to May 2022 were selected as the study objects.They were divided into study group(n=45)and reference group(n=44)according to random ranking table method.The reference group was given routine monitoring after surgery,and the study group was given dynamic ICP monitoring based on the reference group.The length of hospital stay,the dosage of Mannitol,complications,serum biochemical indexes,neurological function and consciousness condition before and after intervention,and the recovery effect were compared between the two groups.Result:The hospitalization time of the study group was shorter than that of the control group,and the dosage of Mannitol on day the 1st,3rd,5th and 7th day were less than those of the reference group,the differences were statistically significant(P<0.05).The incidence of complications in the study group(8.89%)was significantly lower than that in the reference group(27.27%),and the difference was statistically significant(P<0.05).After intervention,the levels of neuron-specific enolase(NSE),hypersensitive C-reactive protein(hs-CRP)and interleukin-6(IL-6)in the study group were lower than those in the reference group,the differences were statistically significant(P<0.05).After the intervention,the Glasgow coma scale(GCS)score of the study group was higher than that of the reference group,and the National Institutes of Health stroke scale(NIHSS)score was lower than that of the reference group,the differences were statistically significant(P<0.05).The total effective rate of the study group(91.11%)was significantly higher than that of the reference group(75.00%),and the difference was statistically significant(P<0.05).Conclusion:Dynamic ICP monitoring can shorten the length of hospital stay in HICH patients,reduce the dose of Mannitol,improve the serum biochemical indexes and neurological function defects condition,improve the treatment efficiency,and have clinical application effects.关键词
动态颅内压监测/去骨瓣减压术/高血压脑出血/并发症Key words
Dynamic intracranial pressure monitoring/Debone bone flap decompressive surgery/Hypertensive cerebral hemorrhage/Complications
