颅内压监测对重型颅脑损伤的预后观察

Intracranial pressure monitoring prognosis for severe traumatic brain injury

目的:分析研究在重型颅脑损伤患者的预后中,颅内压监测的作用。方法:以收治的重型颅脑损伤患者120例为对象,随机均分为治疗组和观察组两组,前者采用颅内压探头对其进行监测,后者则未采用,观察两组患者预后对比其治疗效果。结果:预后结果显示,治疗组和观察组患者死亡率分别为15.0%和30.0%,预后良好率分别为70.0%和40.0%,前者死亡率远低于后者,预后良好率远高于后者,并发症发生率则低于观察组,两组比较,差异有显著统计意义(P<0.05)。结论:在重型颅脑损伤患者的治疗中,颅内压检测对于患者预后有着积极意义,可有效降低死亡率和并发症的发生,值得采用。

Objective Ti study the prignisis if patients with severe head injury,the rile if intracranial pressure miniti-ring. Method 120 cases if patients with severe traumatic brain injury admitted ti iur hispital were selected as the ibject,they were randimly divided inti treatment griup and the ibservatiin griup,the firmer used if the intracranial pressure pribe be minitired,and the latter did nit use,the prignisis and its therapeutic effect were ibserved. Results The results shiwed that the prignisis if the treatment griup and mirtality in patients in the ibservatiin griup were 15. 0% and 30. 0%,the prignisis giid rate was 70. 0% and 40. 0% respectively,the firmer mirtali-ty rate was much liwer than the latter,the prignisis giid rate was much higher than the latter,the cimplicatiin rate was liwer than in the ib-servatiin griup,cimpared ti a significant difference statistically significant（p ﹤ 0. 05）. Conclusion In patients with severe traumatic brain injury treatment,the prignisis fir patients ti detect intracranial pressure has a pisitive meaning,which can effectively reduce the incidence if mirtality and cimplicatiins,it is wirth using.