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| Clinical effect of intracranial pressure monitoring of lateral ventricle puncture for extraventricular drainage in the treatment of intraventricular hemorrhage |
| YANG Ke CAI Shao-ming QIU Ping-hua XIE Le-hui LI Han-cheng |
| The First Department of Neurosurgery, Jieyang People′s Hospital, Guangdong Province, Jieyang 522000, China |
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Abstract Objective To explore the clinical effect of intracranial pressure monitoring of lateral ventricle puncture for extraventricular drainage in the treatment of intraventricular hemorrhage. Methods Seventy-seven patients with intraventricular hemorrhage from the First Department of Neurosurgery in Jieyang People′s Hospital of Guangdong Province from July 2017 to December 2018 were selected as subjects. The patients were divided into observation group and control group by database random grouping method, 35 cases in each group. Patients in the observation group were treated with intracranial pressure monitoring of the lower ventricle puncture for extraventricular drainage, and patients in the control group were treated with conventional ventricle puncture drainage. The Mannitol dosage, Mannitol use time and the total incidence of complications were compared between the two groups. The hematoma emptying rates on the first and third day after operation were compared between the two groups. The hematoma residues of the two groups were compared. The Glasgow coma indexes (GCS) before and at 3 and 7 days after operation of the two groups were compared. Results The residual amount of hematoma and the Mannitol dosage in the observation group were lower than those in the control group, the differences were statistically significant (P＜0.05). The Mannitol use time in the observation group was shorter than that of the control group, the difference was statistically significant (P＜0.05). The overall incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05). The hematoma emptying rates of the observation group on the first and third day after operation were higher than those of the control group, and the differences were statistically significant (P＜0.05). The GCS scores at 3 and 7 days after operation in the observation group were higher than those of the control group, with statistically significant differences (P＜0.05). Conclusion The intracranial pressure monitoring of intracranial pressure in patients with intraventricular hemorrhage is effective in the treatment of lateral ventricle puncture.
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