CAJ | 학술논문

目的：通过监测重型颅脑外伤患者术后颅内压（ICP）的变化，探讨颅内压监测在重型颅脑外伤术后治疗中的临床意义。方法将2014年2月～2015年2月105例重型颅脑外伤手术患者随机分为2组。颅内压监测组（ICP组）：术中行颅内压监测，术后根据颅内压的变化随时调整治疗方案。对照组：术后根据患者的临床表现及头颅CT调整治疗方案。对2组的脱水药用量、并发症及预后对比分析。结果 ICP组在脱水剂应用时间、剂量及并发症发生率方面均低于对照组，差异有统计学意义（P＜0.05）；ICP组疗效优于对照组，但差异无统计学意义（P＞0.05）。结论重型颅脑外伤患者术后行持续颅内压监测，可以尽早发现病情变化，及时调整治疗措施。对降低并发症、改善预后有重要意义。
목적：통과감측중형로뇌외상환자술후로내압（ICP）적변화，탐토로내압감측재중형로뇌외상술후치료중적림상의의。방법장2014년2월～2015년2월105례중형로뇌외상수술환자수궤분위2조。로내압감측조（ICP조）：술중행로내압감측，술후근거로내압적변화수시조정치료방안。대조조：술후근거환자적림상표현급두로CT조정치료방안。대2조적탈수약용량、병발증급예후대비분석。결과 ICP조재탈수제응용시간、제량급병발증발생솔방면균저우대조조，차이유통계학의의（P＜0.05）；ICP조료효우우대조조，단차이무통계학의의（P＞0.05）。결론중형로뇌외상환자술후행지속로내압감측，가이진조발현병정변화，급시조정치료조시。대강저병발증、개선예후유중요의의。
Objective To explore the clinical significance of intracranial pressure (ICP) monitoring for patients with postoperative severe traumatic brain injury.Methods105 patients with postoperative severe traumatic brain injury were divided into two groups. In intracranial pressure monitoring group, the patients underwent intracranial pressure monitoring during operation, to adjust postoperative treatment according to the changes of intracranial pressure. In control group, postoperative treatment depended on the patient's consciousness and skull CTfi ndings and vital signs change to adjust the treatment plan. The medicinal amount of dehydration, complications and prognosis of the two groups were analyzed comparatively.Results The dehydrating agent application time, dose and complication rates in treatment group are lower than the control group. Efficacy is better than the control group.ConclusionEarly continuous monitoring of intracranial pressure for patients with postoperative severe traumatic brain injury may reduce complications and improve prognosis.