CAJ | 학술논문

目的探讨颅内压(intracranial pressure,ICP)持续监护对重型脑损伤患者临床治疗的指导意义.方法选取2011年1月至2012年9月于我院进行开颅手术及脑室外引流术的重型颅脑损伤患者108例,根据随机原则分为实验组和对照组,每组54例.实验组和对照组患者均采用止血、抗感染、脱水、神经营养等治疗.实验组:使用Codman颅内压监护仪对患者进行硬膜下的颅内压监护.对照组:对患者颅内压不进行检测,仅按照传统方法进行颅内压预测和治疗.结果实验组和对照组相比在甘露醇使用时间及用量、肾功能损害程度和电解质紊乱等并发症的发生率、预后评估等各方面差异明显,P＜0.05.结论使用颅内压监护可以明显提高重型颅脑损伤患者的临床疗效,值得推广.
목적 탐토로내압(intracranial pressure,ICP)지속감호대중형뇌손상환자림상치료적지도의의.방법 선취2011년1월지2012년9월우아원진행개로수술급뇌실외인류술적중형로뇌손상환자108례,근거수궤원칙분위실험조화대조조,매조54례.실험조화대조조환자균채용지혈、항감염、탈수、신경영양등치료.실험조:사용Codman로내압감호의대환자진행경막하적로내압감호.대조조:대환자로내압불진행검측,부안조전통방법진행로내압예측화치료.결과 실험조화대조조상비재감로순사용시간급용량、신공능손해정도화전해질문란등병발증적발생솔、예후평고등각방면차이명현,P＜0.05.결론 사용로내압감호가이명현제고중형로뇌손상환자적림상료효,치득추엄.
Objective To explore the clinical significance of continuous intracranial pressure (ICP) monitoring for severe brain injury.Methods 108 patients with severe brain injury who had underwent craniotomy and external ventricular drainage during the period of January 2011 to September 2012 were randomly divided into study group and control group,54 for each group.Both groups received hemostasis,infection control,dehydration,and nutritional therapy for nerve.The study group received a Codman ICP monitor for subdural intracranial pressure monitoring.The control group only received conventional methods for prediction and treatment of ICP without ICP monitoring.Resulta There were significant differences between the study group and the control group in duration and dosage of mannitol use and incidence rates of complications including renal dysfunction and electrolyte disorders (P＜0.05).Conclusions Intracranial pressure monitoring can significantly improve the clinical efficacy in patients with severe brain injury.It is worth popularizing.