有创颅内压监护改善重型颅脑损伤患者预后的相关因素分析

Analysis on the related factors in improving prognosis of severe traumatic brain injury patients by invasive intracranial pressure monitoring

目的:探讨临床应用有创颅内压监护中,提高重型颅脑损伤患者治疗效果的相关因素。方法:回顾性分析25例应用有创颅内压监护的病例,与对照组比较,在GCS评分、脱水剂的应用、手术时机的选择、并发症等方面进行比较。结果:与对照组比较,观察组在GCS评分、脱水剂的应用、手术时机的选择、并发症等相关因素的比较中,均优于对照组。结论:有创颅内压监护可以显著减少脱水剂的用量,减少并发症,利于病情变化的观察,从而改善患者预后。

Objective： To investigate the related factors affecting the prognosis of patients with severe craniocerebral injury via invasive intracranial pressure monitoring. Methods： The clinical outcomes were compared between 25 severe traumatic brain injury patients undergone invasive intracranial pressure monitoring and the control group regarding scoring on Glasgow Coma Scale（ GCS）,dosage of dehydrating agent,timing of surgery and incidence of complications. Results： Compared with the control group,the observation group showed better results in the related factors of GCS score,dosage of dehydrating agent,timing of surgery and incidence of complications. Conclusion： Invasive intracranial pressure monitoring can significantly reduce the dosage of dehydrating agent and the complications as well as conducive to monitoring over condition change to finally improve prognosis of patients.