Analysis Value Application Value of Craniotomy Hematoma Removal Surgery Combined with Invasive Intracranial Pressure Monitoring in Patients with Cerebral Hemorrhage and Edema Stage
Objective To study the application value of craniotomy hematoma removal combined with invasive intracranial pressure monitoring in postoperative cerebral edema period.Methods A total of 62 patients with cerebral hemorrhage were selected from January 2020 to November 2022 at the Second People's Hospital of Xinxiang City.They were randomly divided into two groups under the guidance of interval random method.They were randomly divided into two groups under the guidance of interval randomization,with 31 patients in each group.Both groups received craniotomy hematoma removal treatment.The control group received routine monitoring and treatment,and the treatment plan was adjusted in real-time based on urinary and blood routine related indicators.The study group received additional invasive intracranial pressure monitoring treatment on the basis of the control group.The National Institutes of Health Stroke Scale(NIHSS)score,Modified Rankin Scal score(MRS),Glasgow Outcome Scale(GOS),perioperative use of mannitol and complications of cerebral edema were compared between the two groups.Results Before surgery,NIHSS scores between groups were not significantly different(P＞0.05);however,in the third month after surgery,NIHSS scores decreased in both groups,with the study group scoring lower than the control group,with a statistically significant difference(P＜0.05).Prior to surgery,there was no statistically significant difference in MRS and GOS scores between the two groups(P＜0.05);but in the third month after surgery,MRS scores decreased and GOS scores increased in both groups,with the research group having lower MRS scores and higher GOS scores compared to the control group,showing a statistically significant difference(P＜0.05).The amount of mannitol used in the research group on the second,fourth,sixth,and eighth days of treatment was lower than that in the control group,indicating a statistically significant difference(P＜0.05).The incidence of complications during the cerebral edema period in the research group(6.45%)was lower than that in the control group(29.03%),demonstrating a statistically significant difference(P＜0.05).Conclusion The craniotomy and invasive intracranial pressure monitoring can make the dynamic monitoring of intracranial pressure,reduce the mannitol use dosage and surgical complications,and improve the patient's clinical prognosis.
cerebral hemorrhageremoval of craniotomy hematomainvasive intracranial pressure monitoring
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