无创颅内压监测在高血压脑出血急诊处理中的意义

Non-invasive intracranial pressure monitoring in the emergency treatment of hypertensive cerebral hemorrhage in the sense

目的:探讨无创颅内压监测在急诊处理脑出血中的临床意义。方法:研究对象为2008年2月～2010年2月于本院就诊的69例高血压脑出血的患者,先进行急诊有创测定颅内压(腰椎穿刺压力表测压),再行经颅多普勒(TCD)监测无创颅内压检测技术,对两者颅内压测定结果进行统计学分析,观察无创颅内压监测是否具有较准确测定颅内压及其趋势变化的作用。结果:无创颅内压测定与有创颅内压测定两者在结果上差异无统计学意义(P>0.05)。但从患者的利益考虑,颅内压监测仪由于其无创的优势,显然更实用于临床诊疗。结论:无创颅内压克服了有创颅内压测定的部分缺点,操作简单,无创,安全可靠,且能较准确判断病情,对指导高血压脑出血具有重要临床意义。

Objective：To research into the clinical significance of noninvasive intracranial pressure monitoring in emergency treatment of cerebral hemorrhage.Methods：The studied objects were 69 patients of hypertensive cerebral hemorrhage treated in our hospital from February 2008 to February 2010.First,emergency invasive measuring of intracranial pressure（pressure measuring with lumbar puncture pressure gage） was applied,then transcranial doppler（TCD） monitoring noninvasive intracranial pressure testing was applied,and then carried out statistical analysis on the intracranial pressure measurement results of the two differrent methods,and observed whether noninvasive intracranial pressure monitoring had the function of accurately measuring intracranial pressure and its trend.Results：There was no statistical difference between the results of noninvasive intracranial pressure monitoring and invasive intracranial pressure monitoring（P〉0.05）.Conclusion：Non-invasive intracranial pressure monitoring has overcome some disadvantages of invasive intracranial pres sure monitoring,and can quite accurately judge the medical conditions,and has significance in guiding treatment to hyper tensive cerebral hemorrhage.