有创颅内压监测技术在重型颅脑损伤患者中的临床应用

The Clinical Application of Invasive Intracranial Pressure Monitoring in Treatment of Severe Traumatic Brain Injury

目的:探讨有创颅内压监测技术在重型颅脑损伤患者中的临床应用价值。方法:选取本科2012年7月-2013年12月应用有创颅压监测技术的114例重型颅脑损伤患者进行前瞻性研究,按照随机数字表法将其分为监测组和对照组各57例。监测组于入院后24 h内或开颅手术后行有创颅内压监测;对照组依据患者意识、生命体征和CT检查等,进行常规治疗。对比两组患者治疗3个月后GOS评分。结果:监测组的预后良好率为66.7%明显高于对照组的45.6%,差异有统计学意义(P<0.05)。结论:有创颅内压监测技术能动态观察重型颅脑损伤患者的颅内压变化情况,有利于及时采取有效治疗措施控制颅内压,改善患者预后,值得临床推广应用。

Objective：To investigate the clinical application value of invasive intracranial pressure（ICP） monitoring in treatment of severe traumatic brain injury（sTBI）.Method：A total of 114 patients with sTBI who were used invasive intracranial pressure monitoring in our hospital from July 2012 to December 2013 were selected for prospective studies,they were randomly divided into the monitoring group and the control group,57 cases in each group. The monitoring group was treated with invasive ICP monitoring within 24 h after admission or after craniotomy operation. While the control group was performed by routine treatment according to the patient’s consciousness,vital signs and CT examination,ect.The GOS score after 3 months of treatment between the two groups was compared.Result：The favorable prognosis rate of monitoring group was 66.7%,while it was significantly higher than 45.6%of the control group,the difference was statistically significant（P〈0.05）.Conclusion：During the treatment of sTBI patients,the invasive intracranial pressure monitoring can dynamicly observe ICP,and improve the prognosis of sTBI by controlling the ICP effectively,is worthy of clinical application.