武警医学2025，Vol.36Issue(6)：491-495,5.
颅内压监测联合脑室外引流对双侧额叶脑挫裂伤患者去骨瓣减压术后治疗的价值
Value of intracranial pressure monitoring combined with external ventricular drainage in the treatment of patients with bilateral frontal cerebral contusion after decompressive craniectomy
阚松松 1屈星怡 1饶士涛 1孙报增 1许鹏亮 1余超1
作者信息
- 1. 330001 南昌,武警江西总队医院神经外科
- 折叠
摘要
Abstract
Objective To explore the application of intracranial pressure(ICP)monitoring combined with external ventricu-lar drainage(EVD)in the treatment of patients with bilateral frontal cerebral contusion after decompressive craniectomy.Methods The clinical data of 42 patients who underwent bilateral decompressive craniectomy treatment at Jiangxi Provincial Corps Hospital of Chinese People's Armed Police Force from January 2012 to December 2023 were summarized.Based on whether they received ICP monitoring during the operation,the patients were divided into a detection group(n=21)and a control group(n=21).The changes in intracranial pressure at different time points,the use of mannitol,recovery status,and complications were compared.Results The intracranial pressure within 48 hours after operation in the detection group and the control group were[(35.25±3.30)mmHgvs.(35.33±2.52)mmHg],respectively,and there was no significant difference in the above changes(P>0.05).The intracranial pressures at 72 h and 96 h after operation in the detection group[(27.50±4.04)mmHg and(21.00±3.16)mmHg)]were significantly lower than that in the control group[(32.00±3.61)mmHg,(29.00±4.58)mmHg](P<0.05).The dosage and duration of postoperative mannitol in the de-tection group[(1498.57±442.13)ml;(12.86±4.16)d)]were significantly less than those in the control group[(3362.14±417.79)ml,(26.76±4.60)d](P<0.05).The incidence of cerebral hernia in the detection group was significantly lower than that in the control group(4.76%vs.28.57%;P<0.05).At six months after operation,the proportion of good recovery in the detection group was significantly higher than that in control group(P<0.05).Conclusions ICP monitoring combined with EVD can reduce the consumption and dura-tion of mannitol,decrease the rate of complication,and improve the prognosis of patients.关键词
双侧额叶脑挫裂伤/去骨瓣减压术/颅内压监测/脑室外引流Key words
bilateral frontal cerebral contusion/decompressive craniectomy/intracranial pressure monitoring/external ven-tricular drainage分类
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阚松松,屈星怡,饶士涛,孙报增,许鹏亮,余超..颅内压监测联合脑室外引流对双侧额叶脑挫裂伤患者去骨瓣减压术后治疗的价值[J].武警医学,2025,36(6):491-495,5.
