摘要
目的探讨脑室内颅内压监测对老年高血压脑出血病人治疗的指导价值及疗效。方法回顾性分析我科2013年12月至2018年1月收治的23例老年高血压脑出血病人的临床资料,根据是否采用脑室内颅内压监测分为试验组及对照组,比较2组病人术后甘露醇使用剂量及时间、手术前后格拉斯哥昏迷评分(GCS)变化、术后肾功能损伤发生率及随访6个月后格拉斯哥预后评分(GOS)。结果试验组病人术后甘露醇使用剂量及时间明显低于对照组(P<0. 05),术后GCS上升值及预后明显优于对照组(P<0. 05),术后肾功能损伤发生率明显低于对照组(P<0. 01),差异均有统计学意义。结论老年高血压脑出血病人行持续动态脑室内颅内压监测可以及时发现颅内压变化,减少并发症,改善预后。
Objective To explore the clinical value of ventricular intracranial pressure( ICP)monitoring in the treatment of intracerebral hemorrhage in the elderly hypertensive patients. Methods A total of 23 elderly cases of intracerebral hemorrhage in Department of Neurosurgery from December2013 to January 2018 were retrospectively analyzed. The patients were divided into experimental group and control group according to whether they received ICP. The total amount of mannitol,Glasgow Coma Scale( GCS) scores,the incidence rate of renal function damage and Glasgow Outcome Scale( GOS)scores 6 months after teratment were recored and compared between two groups. Results The total amount of mannitol was significantly lower,while GCS score and GOS score were significantly higher in experimental group than those in control group( P< 0. 05),The incidence rate of renal dysfunction in experimental group was significantly lower than that in control group( P< 0. 01). Conclusions Continuous intra-ventricular ICP monitoring can detect the changes of ICP in the elderly hypertensive patients with intracerebral hemorrhage,and decrease the complication rate and improve the outcomes.
出处
《实用老年医学》
CAS
2018年第12期1170-1172,共3页
Practical Geriatrics
基金
南京市科技发展计划项目(201605077)
南京市医学科技发展项目(YKK17230)
南京市卫生青年人才培养工程(QRX17084)
关键词
老年人
高血压
脑出血
颅内压监测
aged
hypertension
intracerebral hemorrhage
intracranial pressure monitoring
