摘要
目的：探讨连续颅内压监护在高血压脑出血治疗中的应用，以探寻改善高血压脑出血预后的治疗方法。方法：选取高血压脑出血患者80例，随机分为2组各40例，使其有可比性。对照组患者采取常规治疗；观察组患者在对照组基础上给予连续颅内压监护。于治疗前和治疗1周时采用GCS评价2组患者预后；分别于治疗前、治疗后3个月和治疗6个月时采用MMSE和MOCA对2组患者认知功能进行评价。结果：经过1周的治疗，观察组患者GCS评分（3—5）分、（6～8）分及（9—12）分者分别占2．50％、10．00％弄口87．50％，平均分为10．19±0．31分；治疗3个月和6个月时观察组MMSE分别为22．59±1．48分和25．68±1．37分，MOCA分别为21．05±1．51分和25．34±-1．73分，上述指标观察组均明显高于对照组，2组比较差异有统计学意义（P〈0．05）。结论：连续颅内压监护可以有效改善高血压脑出血患者治疗的预后，但在使用过程中应注意监护结果的准确性。
Objective： To investigate continuous intracranial pressure monitoring in the treatment of hypertensive intracerebral hemor- rhage, to seek to improve the treatment of hypertensive cerebral hemorrhage prognosis. Methods： 80 cases of patients with cerebral hem- orrhage were randomly divided into two groups of 40 eases, it has comparable. The control group of patients taking conventional treatment; observation group were treated with continuous intracranial pressure monitoring in the control group basis. When using the week before the treatment and prognosis of patients with GCS evaluation groups; respectively, before treatment, after 3 months and 6 months of treatment using the MMSE and MOCA two groups of patients were evaluated cognitive function; Results： After a week of treatment, the patients in the observation group GCS score （3 - 5 ） points （6 - 8 ） and points （9 - 12） minutes, respectively, accounted for 2.50%, 10.00% and 87.50%, average score （10.19±0. 31 ） points; treatment 3 months and 6 months, respectively MMSE observation group （22.59 ± 1. 48） and points （25.68± 1.37） points, MOCA, respectively （21.05 ± 1.51） and points （25.34 ± 1.73） points, appeal indicators in the observation group were significantly higher, the difference was statistically significant （ P 〈 0.05 ）. Conclusion： Continuous in- tracranial pressure monitoring can improve the treatment of patients with hypertensive cerebral hemorrhage prognosis, but in the course of monitoring accuracy of the results should be noted.
出处
《中国伤残医学》
2015年第13期12-14,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
连续颅内压监护
高血压
脑出血
Continuous intracranial pressure monitoring
Hypertension
Cerebral hemorrhage
