CAJ | 학술논문

目的：探讨颅内压监测对高血压性脑出血患者术后近期及远期临床疗效的影响。方法：选择合适的患者60例，随机分为观察组和对照组各30例，均给予基础治疗，对照组采用常规方法降颅压，观察组根据颅内压监测结果应用脱水剂，比较二者预后情况等。结果：术后1周两组患者NIHSS评分均低于术前，差异有统计学意义（P＜0．05），但是观察组患者下降幅度较对照组大（P＜0．05）。观察组患者电解质紊乱、应激性溃疡、肾功能损害的发生率明显低于对照组，差异有统计学意义（ P＜0．05），而两组患者感染发生率相似，差异无统计学意义（P＞0．05）。随访6个月，观察组死亡率10．00％、预后良好率53．33％，对照组死亡率26．67％、预后良好率36．67％，差异有统计学意义（ P＜0．05）。结论：颅内压监测有助于高血压性脑出血患者术后神经功能的恢复，减少并发症，降低病死率，改善患者愈后日常生活能力。
목적：탐토로내압감측대고혈압성뇌출혈환자술후근기급원기림상료효적영향。방법：선택합괄적환자60례，수궤분위관찰조화대조조각30례，균급여기출치료，대조조채용상규방법강로압，관찰조근거로내압감측결과응용탈수제，비교이자예후정황등。결과：술후1주량조환자NIHSS평분균저우술전，차이유통계학의의（P＜0．05），단시관찰조환자하강폭도교대조조대（P＜0．05）。관찰조환자전해질문란、응격성궤양、신공능손해적발생솔명현저우대조조，차이유통계학의의（ P＜0．05），이량조환자감염발생솔상사，차이무통계학의의（P＞0．05）。수방6개월，관찰조사망솔10．00％、예후량호솔53．33％，대조조사망솔26．67％、예후량호솔36．67％，차이유통계학의의（ P＜0．05）。결론：로내압감측유조우고혈압성뇌출혈환자술후신경공능적회복，감소병발증，강저병사솔，개선환자유후일상생활능력。
Objective:To investigate the effects of intracranial pressure monitoring on the short -term and long-term postoperative clinical efficacy in patients with hypertensive cerebral hemorrhage .Method: A total of 60 eligible patients were selected and randomly divided into observation group and control group , with 30 patients in each group .All the patients were given with basic therapies .The control group used routine method to decrease intracranial pressure , while the observation group used dehydrants according to the in-tracranial pressure monitoring results .The prognoses were compared between the two groups .Result:The pa-tients of both groups had decreased national institutes of health stroke scale ( NIHSS) scores at 1 week after the surgery when compared with those before the surgery , and the differences were statistically significant ( P>0.05), but the decreasing extent of the observation group was greater than the control group (P<0.05). The patients of the observation group had significantly lower incidences of electrolyte disturbances , stress ul-cer, and renal functional lesion than those of the control group ( P<0.05) , and the patients of the two groups had similar incidences of infection, and the difference was statistically insignificant (P<0.05).All the pa-tients were followed up for 6 months;the death rate and eusemia rate of the observation group were 10.00%and 53.33%, respectively, while those of the control group were 26.67%and 36.67%, respectively, and the differences were statistically significant (P<0.05).Conclusion:Intracranial pressure monitoring is helpful to the postoperative neurofunctional recovery , can decrease fatality rate and incidence of complication , and can improve the activity of daily living after onset of the disease in patients with hypertensive cerebral hemor -rhage .