持续颅内压监测用于脑膜瘤术后的临床效果及护理方法分析

目的探讨分析持续颅内压监测用于脑膜瘤术后的临床效果及护理方法。方法选取2010年3月~2012年3月广东省惠州市中心人民医院接受脑膜瘤手术的患者60例,根据术后监测方式的不同均分为试验组和对照组（n=30）。试验组给予药物联合针灸的睡眠障碍治疗,对照组给予常规治疗。比较2组不同治疗方法后的临床疗效。结果试验组中,27例患者（90%）的辛普森等级为1级别,3例患者（10%）的辛普森等级为0级别。对照组中,19例患者（63.33%）的辛普森等级为1级别,11例患者（36.67%）的辛普森等级为0级别。试验组的临床有效率（90%）高于对照组的临床有效率（63.33%）,2组比较差异有统计学差异（P〈0.05）。结论持续颅内压监测有助于指导医生在临床用药及术后病程的发展等多方面做出及时科学的临床判断,显著性提高疗效,降低并发症的发生率,临床优势明显,值得临床的广泛应用与推广。

Objective To investigate and analyze continuous monitoring of intracranial pressure applied in meningioma after surgery .Methods 60 cases of meningioma patients treated by surgery at, huizhou central people＆#39;s hospital in guangdong province, during March 2010 to March 2012 were divided into experimental group and control group （n=30） according to the postoperative monitoring methods. The experimental group patients were given acupuncture sleep disorder drug combination therapy , the control group patients were given conventional therapy.the clinical efficacy of different treatment methods were compared.Results In the experimental group,the Simpson scale of 26 patients （86.67%）were 1 level , 4 patients （13.33%） were 0 level .In the control group,the Simpson scale of 20 patients （66.67% ）were 1 level , 10 patients （33.33%） were 0 level. The clinical effictive rate of experimental group （86.67%） was higher than the control group（66.67%） ,the differences were significant ,with statistical significance （P〈0.05）.Conclusion Continuous monitoring of intracranial pressure can help to guide the physicians make timely and scientific clinical judgment in the aspects of clinical medicine and postoperative developmen of the disease , which can improve the efficacy and reduce the incidence of complications significantly, with significantly clinical advantages,it’s worthy of wide application and promotion in clinic.