Effect and Prognostic Factors of Intracranial Pressure Monitoring Assisted Removal of Craniotomy Hematoma in the Treatment of Patients with Craniocerebral Injury
Objective:To analyze the effect and prognostic factors of intracranial pressure monitoring assisted removal of cran-iotomy hematoma in the treatment of patients with craniocerebral injury.Methods:135 patients with craniocerebral injury who were to be treated by craniotomy hematoma removal in our hospital from January 2019 to March 2023 were selected as study objects,and divided into conventional group and monitoring group according to different monitoring methods.The conventional group was treated with stan-dard craniotomy hematoma removal,and the monitoring group was treated with controlled decompression under intracranial pressure monitoring combined with craniotomy hematoma removal.Intracranial pressure,Glasgow coma(GCS)score and postoperative compli-cations were compared between the two groups before and after surgery.The good prognosis rate of the two groups was calculated ac-cording to the Glasgow prognosis score(GOS)90 days after surgery.Univariate analysis and multivariate Logistic regression were used to analyze the influencing factors of prognosis.Results:The intracranial pressure immediately and 12 h after operation in monitoring group was lower than that in conventional group(P＜0.05).The GCS scores of the monitoring group at 24 h and 48 h were higher than those of the conventional group(P＜0.05).The incidence of intraoperative hypotension,acute encephalocele,intracranial hematoma,cere-brovascular spasm and unplanned reoperation in monitoring group was lower than that in conventional group(P＜0.05).Univariate analy-sis and multivariate Logistic regression analysis showed that age,admission GCS score,cerebral hernia score and modified CT image score were all independent influencing factors for prognosis of patients with craniocerebral injury(P＜0.05).Conclusion:Intracranial pres-sure monitoring assisted craniotomy hematoma removal is effective in the treatment of patients with craniocerebral injury,which can effectively reduce intracranial pressure,reduce complications and improve prognosis,but the prognosis is affected by age,admission GCS score,brain hernia,and improved CT image score.
Craniocerebral injuryIntracranial pressure monitoringRemoval of craniotomy hematomaPrognosisInfluencing factor
万方数据
维普
