颅内压持续监护在重型颅脑损伤患者术后治疗中的应用效果

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摘要目的探讨颅内压持续监护在重型颅脑损伤患者术后治疗中的应用效果。方法选取2016年12月～2018年12月我院收治的96 例重型颅脑损伤患者作为研究对象，按照随机抽签法分为对照组（48 例）与观察组（48 例）。对照组采用常规神经外科治疗，观察组采用常规联合颅内压持续监护治疗。比较两组的治疗效果、脱水剂剂量、应用时间及并发症总发生率。结果观察组的良好率高于对照组，死亡率低于对照组，差异均有统计学意义（P<0.05）；观察组的脱水剂剂量为（826.20±125.66）g，低于对照组的（1276.40±227.00）g，差异有统计学意义（P<0.05）；观察组的应用时间为（7.20±3.65）d，短于对照组的（10.80±4.15）d，差异有统计学意义（P<0.05）；观察组的并发症总发生率为25.00%，低于对照组的58.33%，差异有统计学意义（P<0.05）。结论在重型颅脑损伤患者术后治疗中采用颅内压持续监护，可减少脱水剂剂量和应用时间，降低并发症发生率，改善患者预后，促进患者早日康复。

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	林立超
	杨建雄
	叶志其
	陈勇涛

关键词 ：颅内压持续监护, 重型颅脑损伤, 应用效果

Abstract：Objective To explore the application effect of continuous intracranial pressure monitoring in the treatment of patients with severe craniocerebral injury after operation.Methods A total of 96 patients with severe craniocerebral injury admitted to our hospital from December 2016 to December 2018 were selected as the research objects, they were divided into control group (48 cases) and observation group (48 cases) according to random lottery method.The control group was treated with routine neurosurgery, while the observation group was treated with routine combined with continuous intracranial pressure monitoring.The therapeutic effect, dosage of dehydrant, application time and total incidence of complications were compared between the two groups.Results The good rate of the observation group was higher than that of the control group, and the mortality was lower than that of the control group, the differences were statistically significant (P<0.05).The dosage of dehydrant in the observation group was (826.20±125.66) g, which was lower than (1276.40±227.00) g in the control group, the difference was statistically significant (P<0.05).The application time of the observation group was (7.20±3.65) days, which was shorter than (10.80±4.15) days of the control group, the difference was statistically significant (P<0.05).The total incidence of complications in the observation group was 25.00%,which was lower than 58.33% in the control group, the difference was statistically significant (P<0.05).Conclusion Continuous intracranial pressure monitoring can reduce the dosage and application time of dehydrant, reduce the incidence of complications, improve the prognosis of patients and promote early recovery of patients with severe craniocerebral injury.

Key words： Continuous intracranial pressure monitoring Severe craniocerebral injury Application effect

基金资助:广东省河源市科技计划项目（2015015）

引用本文:

林立超；杨建雄；叶志其；陈勇涛. 颅内压持续监护在重型颅脑损伤患者术后治疗中的应用效果[J]. 中国当代医药, 2019, 26(15): 65-67.
LIN Li-chao ；YANG Jian-xiong ；YE Zhi-qi； CHEN Yong-tao. Application effect of continuous intracranial pressure monitoring in the treatment of patients with severe craniocerebral injury after operation. 中国当代医药, 2019, 26(15): 65-67.

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