摘要
目的研究对重症大面积脑出血患者术后给予持续有创颅内压(ICP)监护的临床价值。方法88例重症大面积脑出血患者,按照术后监测方式不同分为对照组与观察组,每组44例。两组患者均给予标准大骨瓣减压术联合颅内血肿清除术治疗,观察组患者术后给予ICP监护,对照组患者术后给予常规生命体征监测。比较两组患者并发症发生情况、生存率以及治疗前后格拉斯哥昏迷(GCS)评分。结果观察组患者总并发症发生率2.27%显著低于对照组的38.64%,生存率93.18%显著高于对照组的20.45%,差异具有统计学意义(P<0.05)。治疗前,两组患者GCS评分比较差异无统计学意义(P>0.05);治疗后,观察组患者GCS评分(7.5±1.5)分显著高于对照组的(5.4±1.3)分,差异具有统计学意义(P<0.05)。结论通过给予重症大面积脑出血患者标准大骨瓣减压术后实行ICP监护并给予相应治疗及处理,可显著降低患者并发症发生率,提高生存率,值得临床持续推广并加以使用。
Objective To study the clinical value of continuous invasive intracranial pressure(ICP)monitoring after operation for severe massive cerebral hemorrhage.Methods A total of 88 patients with severe massive cerebral hemorrhage were divided into control group and observation group by different monitoring methods after operation,with 44 cases in each group.Both groups were treated with standard large flap decompression combined with evacuation of intracranial hematoma.The observation group received ICP monitoring after operation,and the control group received routine vital signs monitoring.The occurrence of complications,survival rate and Glasgow coma scale(GCS)score before and after treatment was compared between the two groups.Results The total incidence of complications 2.27%in the observation group was significantly lower than 38.64%in the control group,and survival rate 93.18%was significantly higher than 20.45%in the control group.Their difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in GCS score between the two groups(P>0.05).After treatment,the GCS score(7.5±1.5)points in the observation group was significantly higher than(5.4±1.3)points in the control group,and the difference was statistically significant(P<0.05).Conclusion ICP monitoring and corresponding treatment can significantly lower the incidence of complications and improve survival rate of patients with severe massive cerebral hemorrhage after standard large flap decompression.It is worthy of clinical continuous promotion and application.
作者
邢栋
韩志桐
赵卫平
王忠
XING Dong;HAN Zhi-tong;ZHAO Wei-ping(Inner Mongolia People’s Hospital,Hohhot 010010,China)
出处
《中国实用医药》
2020年第1期31-33,共3页
China Practical Medicine
基金
常见病临床治疗研究-显微血肿清除术及大骨瓣减压术治疗重症大面积脑出血的临床研究(项目编号：201502107)
持续颅内压监测及标准大骨瓣减压术治疗重度颅脑损伤及大面积脑出血的临床研究(项目编号：201701009)
关键词
持续有创颅内压监护
重症大面积脑出血
术后
并发症
预后
Continuous invasive intracranial pressure monitoring
Severe massive cerebral hemorrhage
After operation
Complications
Prognosis
