皖南医学院学报
皖南醫學院學報
환남의학원학보
ACTA ACADEMIAE MEDICINAE WANNAN
2015年
3期
246-248
,共3页
许勇%李监松%经大平%吴再进%王成%许汉云
許勇%李鑑鬆%經大平%吳再進%王成%許漢雲
허용%리감송%경대평%오재진%왕성%허한운
颅内压%颅脑损伤%相关因素%预后
顱內壓%顱腦損傷%相關因素%預後
로내압%로뇌손상%상관인소%예후
intracranial pressure%craniocerebral injury%related factors%prognosis
目的:探讨临床应用有创颅内压监护中,提高重型颅脑损伤患者治疗效果的相关因素。方法:回顾性分析25例应用有创颅内压监护的病例,与对照组比较,在GCS评分、脱水剂的应用、手术时机的选择、并发症等方面进行比较。结果:与对照组比较,观察组在GCS评分、脱水剂的应用、手术时机的选择、并发症等相关因素的比较中,均优于对照组。结论:有创颅内压监护可以显著减少脱水剂的用量,减少并发症,利于病情变化的观察,从而改善患者预后。
目的:探討臨床應用有創顱內壓鑑護中,提高重型顱腦損傷患者治療效果的相關因素。方法:迴顧性分析25例應用有創顱內壓鑑護的病例,與對照組比較,在GCS評分、脫水劑的應用、手術時機的選擇、併髮癥等方麵進行比較。結果:與對照組比較,觀察組在GCS評分、脫水劑的應用、手術時機的選擇、併髮癥等相關因素的比較中,均優于對照組。結論:有創顱內壓鑑護可以顯著減少脫水劑的用量,減少併髮癥,利于病情變化的觀察,從而改善患者預後。
목적:탐토림상응용유창로내압감호중,제고중형로뇌손상환자치료효과적상관인소。방법:회고성분석25례응용유창로내압감호적병례,여대조조비교,재GCS평분、탈수제적응용、수술시궤적선택、병발증등방면진행비교。결과:여대조조비교,관찰조재GCS평분、탈수제적응용、수술시궤적선택、병발증등상관인소적비교중,균우우대조조。결론:유창로내압감호가이현저감소탈수제적용량,감소병발증,리우병정변화적관찰,종이개선환자예후。
Objective:To investigate the related factors affecting the prognosis of patients with severe craniocerebral injury via invasive intracranial pressure monitoring.Methods:The clinical outcomes were compared between 25 severe traumatic brain injury patients undergone invasive intracranial pressure mo-nitoring and the control group regarding scoring on Glasgow Coma Scale(GCS),dosage of dehydrating agent,timing of surgery and incidence of complica-tions.Results:Compared with the control group,the observation group showed better results in the related factors of GCS score,dosage of dehydrating a-gent,timing of surgery and incidence of complications.Conclusion:Invasive intracranial pressure monitoring can significantly reduce the dosage of de-hydrating agent and the complications as well as conducive to monitoring over condition change to finally improve prognosis of patients .