首页|持续颅内压监测预警在重型颅脑损伤手术患者中的临床效果分析

持续颅内压监测预警在重型颅脑损伤手术患者中的临床效果分析

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目的 针对重型颅脑损伤手术患者,引入持续颅内压监测预警措施,评估其临床应用效果.方法 随机选取2019年1月—2023年1月江苏省常熟市中医院的80例重型颅脑损伤手术患者为研究对象,通过随机数表法分为两组,每组40例,观察组配合持续颅内压监测预警技术完成手术,对照组常规完成手术,比较两组预后状态、并发症发生情况、术后颅内压水平、甘露醇用药情况与昏迷程度.结果 观察组预后良好率(82.50%)高于对照组(62.50%),差异有统计学意义(χ2=4.012,P<0.05).观察组相关并发症总发生率低于对照组,差异有统计学意义(P<0.05).两组患者术后颅内压水平持续下降,且观察组术后40、60 h颅内压水平低于对照组,差异有统计学意义(P均<0.05).治疗1周内观察组甘露醇持续用药时间、甘露醇用药总量均低于对照组,格拉斯哥昏迷评分高于对照组,差异有统计学意义(P均<0.05).结论 将持续颅内压监测预警措施融入重型颅脑损伤手术患者中,能够有效改善患者病情状态,稳定术后颅内压水平,降低各项并发症发生风险,改善患者综合预后质量,效果显著.
Clinical Effect of Continuous Intracranial Pressure Monitoring and Early Warning in Patients undergoing Severe Craniocerebral Injury Surgery
Objective For the patients with severe craniocerebral injury,the early warning measures of continuous in-tracranial pressure monitoring were introduced to evaluate its clinical application effect.Methods A total of 80 patients with severe craniocerebral injury undergoing surgery in Changshu Hospital of Traditional Chinese Medicine,Jiangsu Province from January 2019 to January 2023 were randomly selected as the study objects and were divided into two groups with 40 cases in each group by random number table method.The observation group underwent surgery with continuous intracranial pressure monitoring and early warning technology,while the control group underwent routine surgery.The prognosis,complications,intracranial pressure,mannitol medication and coma degree were compared be-tween the two groups.Results The good prognosis rate of observation group(82.50%)was higher than that of control group(62.50%),and the difference was statistically significant(χ2=4.012,P<0.05).The total incidence of related com-plications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The level of intracranial pressure in the two groups continued to decrease,and the level of intracranial pres-sure in the observation group was lower than that in the control group 40 and 60 h after surgery,the differences were statistically significant(all P<0.05).Within 1 week of treatment,the duration of mannitol administration and total man-nitol administration in observation group were lower than those in control group,and Glasgow coma score was higher than that in control group,the differences were statistically significant(all P<0.05).Conclusion The integration of con-tinuous intracranial pressure monitoring and early warning measures into patients undergoing severe craniocerebral in-jury surgery can effectively improve the condition status of patients,stabilize the level of intracranial pressure after surgery,reduce the risk of complications,and improve the overall prognosis quality of patients.The effect is signifi-cant.

Continuous intracranial pressure monitoring and early warningSevere craniocerebral injurySurgeryClinical effect

管雪军

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江苏省常熟市中医院神经外科,江苏常熟 215500

持续颅内压监测预警 重型颅脑损伤 手术 临床效果

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(5)
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