CAJ | 학술논문

目的：探讨侧脑室穿刺颅内压监护在高血压脑出血术后治疗中的应用价值。方法选择我院神经外科2011年1月~2012年11月收治的58例脑出血手术患者，随机分为颅内压监护组(A组)和非颅内压监护组(B组)，比较两组患者的临床资料，随访6个月评估两组患者的预后。结果 A组患者电解质紊乱发生率下降，6个月后的GOS评分升高。但两组术后14 d的死亡率无明显差异(P>0.05)。结论高血压脑出血患者术后使用颅内压监护可以动态连续观察颅内压、脑灌注压情况，为临床提供科学准确的客观指标，减少并发症的发生，不增加颅内感染机会，明显改善预后。
목적：탐토측뇌실천자로내압감호재고혈압뇌출혈술후치료중적응용개치。방법선택아원신경외과2011년1월~2012년11월수치적58례뇌출혈수술환자，수궤분위로내압감호조(A조)화비로내압감호조(B조)，비교량조환자적림상자료，수방6개월평고량조환자적예후。결과 A조환자전해질문란발생솔하강，6개월후적GOS평분승고。단량조술후14 d적사망솔무명현차이(P>0.05)。결론고혈압뇌출혈환자술후사용로내압감호가이동태련속관찰로내압、뇌관주압정황，위림상제공과학준학적객관지표，감소병발증적발생，불증가로내감염궤회，명현개선예후。
Objective To investigate the clinic significance of intracranial pressure (ICP)monitor for operation of hy-pertensive cerebral hemorrhage. Methods Fifty-eight patients suffering from hypertensive cerebral hemorrhage from Jan 2011 to Nov 2012 were included,and were divided into two groups,ICP-monitor group(A group) and non-ICP-moni-tor group(B group). The clinic data of all patients were statistically analyzed and the prognosis was evaluated with six-month follow up period after operation. Results Compared with patients who had ICP monitor post operation, the inci-dence of distance of water and electrolyte reduced significantly in A group; Moreover,the scores of GOS were signifi-cant higher in A group. Nevertheless,there was no significant difference on operative mortality between two groups af-ter operation 14 days. Conclusion The study demonstrates that ICP monitor can guide the clinical therapy,decrease the incidence of complication and improve the prognosis for patients suffered from operation of hypertensive cerebral hem-orrhage.