Application of Controlled Stepped Decompression under Invasive Intracranial Pressure Monitoring in Severe Craniocerebral Injury
Objective:To investigate the value of controlled step decompression under invasive intracranial pressure monitoring in the treatment of severe craniocerebral injury.Method:A total of 82 cases of severe craniocerebral injuries treated in Zhaoqing First People's Hospital from July 2022 to July 2023 were selected as the study objects and divided into a control group and an experimental group,with 41 cases in each group.None of the patients underwent surgical treatment and they were all in the acute stage.The changes of vital signs in the control group were monitored,and the invasive intracranial pressure probe was implanted in the experimental group.Intracranial pressure,incidence of complications(delayed hematoma,postoperative cerebral infarction),mortality,Glasgow Coma Scale(GCS)score and prognosis were compared between the two groups.Result:6 h,12 h,24 h after operation,the intracranial pressure index of control group was higher than that of experimental group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in control group was higher than that in experimental group,and the difference was statistically significant(P<0.05).24 h,72 h and 7 d after surgery,there was no significant difference in GCS scores between the two groups(P<0.05).Three months after operation,the good recovery rate of the control group was lower than that of the experimental group,and the difference was statistically significant(P<0.05).Conclusion:Controlled step decompression under invasive intracranial pressure monitoring has an ideal effect in patients with severe craniocerebral injury,which can improve the intracranial pressure index,reduce the incidence of postoperative complications and mortality,recover consciousness faster,and improve prognosis.
Severe traumatic brain injuryControlled stepwise decompressionInvasive intracranial pressure monitoringComplication rateGlasgow Coma ScalePrognosis
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