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| Effect of intracranial pressure monitoring on tissue perfusion and prognosis in critically ill patients with nervous system |
| YANG Xingda GU Youzhu ZOU Zhibin ZHU Hong ZHONG Bo YU Dalin |
| Department of Neurosurgery, Xinyu People's Hospital, Jiangxi Province, Xinyu 338000, China |
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Abstract Objective To explore the application effects of continuous intracranial pressure (ICP) monitoring and nursing intervention in tissue perfusion of patients with severe neurological diseases. Methods A total of 60 patients with severe nervous system diseases treated in Department of Neurosurgery of Xinyu People's Hospital were selected as research subjects from February 2019 to February 2021. They were divided into the monitoring group (n=30) and the control group (n=30) by drawing lots. The control group received routine nursing, while the monitoring group took continuous ICP monitoring nursing intervention. ICP, cerebral perfusion pressure (CPP), Glasgow coma scale (GCS) scores, complications and prognosis were compared between the two groups before and after nursing. Results After monitoring, the ICP in two groups was lower than that before monitoring, while the CPP was higher than that before monitoring, with statistically significant differences (P＜0.05). After monitoring, the ICP in the monitoring group was lower than that in the control group, while the CPP was higher than that in the control group, with statistically significant differences (P＜0.05). After monitoring, the scores of eye opening response, language response and limb movement in two groups were higher than those before monitoring, and the scores of those in the monitoring group were higher than those in the control group, with statistically significant differences (P＜0.05). The prognosis grade of the monitoring group was better than that of the control group, and the difference was statistically significant (P＜0.05). There was no statistical difference in the complications between the two groups (P＞0.05). Conclusion Continuous ICP monitoring of patients with severe nervous system diseases is beneficial to promoting the clinical efficacy, enhancing the cerebral tissue perfusion, improving the prognosis and reducing the incidence rates of complications to a certain extent.
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