颅内压监测在高血压脑出血立体定向穿刺术中的应用

The application of intracranial pressure monitoring in the treatment of stereotactic surgery for the patients of hypertension cerebral hemorrhage

目的探讨颅内压监测在高血压脑出血立体定向穿刺术中的应用。方法 2011年1月至2013年12月,25例高血压脑出血患者在颅内压监测下行立体定向穿刺治疗,对患者资料进行回顾性分析。结果颅内压监测的时间为5~7d,平均（6.5±1.2）d。未发生颅内感染,无监测导管放置时引起的颅内血肿。出院后6个月ADL评分,Ⅰ级4例,Ⅱ级13例,Ⅲ级5例,Ⅳ级2例,Ⅴ级1例。结论在颅内压监测下行高血压脑出血立体定向穿刺治疗,可减少术后再出血,并可早期诊断和治疗术后并发症以及进展性颅内血肿,临床治疗效果满意。

Objective To explore the application of intracranial pressure monitoring in the treatment of stereotactic surgery for the patients of hypertension cerebral hemorrhage.Methods25 patients of hypertensive cerebral hemorrhage were retrospectively analyzed.Results The patients were performed by intracranial pressure monitoring for 5~7d,and the average period was（6.5 ＋ 1.2）d.No one case of infection or intracranial hemorrhage caused by catheter placement was found in this study.The 25 cases were evaluated by activities of daily living（ADL）6monthsafter surgery,Ⅰgrade was found in 1cases,Ⅱgrade in 2cases,Ⅲ grade in 5cases,Ⅳgrade in 13 cases,Ⅴ grade in 4cases.Conclusion It would contribute to reduce postoperative re-bleeding,promote the diagnosis and treatment of postoperative complications and progress of intracranial hemorrhage by stereotactic surgery monitored by intracranial pressure.So the intracranial pressure monitoring can be applied in the further clinical research of the treatment of hypertensive cerebral hemorrhage.