有创颅内压监测在重型颅脑外伤中的应用

The application value of invasive monitoring of intracranial pressure in severe craniocerebral trauma

目的探讨有创颅内压监测对重型颅脑外伤患者救治的意义。方法从107例颅脑外伤的患者中筛选出68例重型者,并随机分为试验组和对照组,各34例。试验组34例患者均入院24h内行颅内压监测,依据监测结果控制颅内压,适时采取药物或手术治疗。对照组未进行颅内压监测。比较2组患者的病死率。结果对照组34例重型颅脑外伤患者中,死亡27例,病死率79.41%。试验组中,死亡12例,病死率35.29%。2组比较差异有统计学意义(P<0.05)。结论有创颅内压监测能降低患者的病死率,提高生存率。

Objective To discuss the significance of invasive monitoring of intracranial pressure in treatment of severe craniocerebral trauma. Methods 68 cases of severe ones from 107 cases of craniocerebral trauma patients were selected, and randomly divided them into the experiment group and control group, 34 people in each group. 34 cases in the experiment group received intracranial pressure monitoring within 24h after admission, the intracranial pressure was controlled based on the mo- nitoring results, and taking drugs or operation treatment. The control group had no intracranial pressure monitoring, the mor- tality rate of two groups wascompared. Results Among 34 cases of severe craniocerebral trauma patients in control group, 27 cases died, and the mortality was 79.41~. In experiment group, 12 cases died, and the mortality rate was 35.29%. The difference between two groups was significant with statistical significance（P^0.05）. Conclusion Intracranial pressure monito- ring can reduce the mortality rate aiad improve the survival rate of severe craniocerebral trauma.