中型弥漫性脑肿胀持续颅内压监测的临床意义

Clinical significance of continuous intracranial pressure monitoring for patients with medium diffuse brain swelling

目的探讨颅内压监测在中型弥漫性脑肿胀治疗中的临床意义。方法将73例中型弥漫性脑肿胀患者,随机分为2组。颅内压监测组:入院后即行颅内压监测,根据颅内压的变化随时调整治疗方案。对照组:入院后行常规治疗,根据患者的意识和生命体征变化及头颅CT结果调整治疗方案。对两组的脱水药用量、并发症及预后对比分析。结果颅内压监测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,疗效优于对照组。结论早期行持续颅内压监测,有利于指导治疗,尽早发现病情变化,及时调整治疗措施。

Objective To explore the clinical significance of the treatment of intracranial pressure monitoring for patients with medium diffuse brain swelling （ DBS ） Methods 73 patients with DBS were divieded into two groups. In intracranial pressure monitoring group,the patients were underwent by monitoring the intracranial pressure after admission, according to changes in intracranial pressure at any time to adjust the treatment plan. In control group,the patients underwent conventional treatment, depending on the patient % consciousness and skull CT findings and vital signs change 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. Conclusion Early continuous monitoring of intracranial pressure for patients with medium DBS may reduce complications and improve prognosis.