IBP及NBP血压测量对颅内出血重症患者血压水平、组织灌注及抢救成功率的影响

Effect of IBP and NBP measurement on blood pressure,tissue perfusion and survival rate of patients with severe intracranial hemorrhage

目的分析有创监测(IBP)、无创监测(NBP)血压测量对颅内出血重症患者血压水平、组织灌注及抢救成功率的影响。方法选本院收治高血压颅内出血患者252例为研究对象,依抢救是否采取持续颅内压监测分为研究组126例和对照组126例,研究组依照血压监测方法分为IBP组66例和NBP组60例,分析3组患者颅内压波动、抢救成功率及并发症情况。结果患者入院时颅内压升高,经过治疗颅内压逐渐下降,两种检测技术对颅内压监测水平差异不明显(P>0.05)。研究组抢救成功率显著高于对照组(P>0.05),IBP组和NBP组患者抢救成功率无明显差异(P>0.05)。经过治疗,患者神经功能缺损评分显著降低(P<0.05),3组患者神经功能缺损情况差异不明显(P>0.05),IBP组和NBP组甘露醇用量均显著低于对照组(P<0.05),IBP组和NBP组电解质紊乱、肾功能损害发生率显著低于对照组(P<0.05)。结论高血压脑出血抢救中采用持续颅内压监测对病情变化监测有重要价值,能为抢救提供必要信息支持。

Objective To analyze the effect of IBP and NIBP measurement on blood pressure, tissue perfusion and survival rate of patients with severe intracranial hemorrhage. Methods A total of 136 patients with Hypertensive intracranial hemorrhage in hospital were selected, patients were divided into study group and control group according to intracranial pressure monitoring, study group patients were divided into IBP group （66cases） and NBP group （60cases）, intracranial pressure fluctuations, suc- cess rate and complications of patients were compared. Results Hypertensive patients with severe cerebral hemorrhage at ad- mission intracranial pressure, intracranial pressure decreased after treatment, both detection of intracranial pressure monitoring level difference was not obvious （ P〉0.05 ）. The survival rate of the study group was significantly higher than control group （ P〉0. 05 ）, IBP group and the survival rate of patients with NBP was no significant difference （ P〉0.05 ）. After treatment, pa- tients neurological deficit scores were significantly lower （ P〈0.05 ）, three groups of patients with neurological impairment situa- tion was no significant difference （P〉0.05）, IBP with mannitol group and NBP group were significantly lower than the control group （ P〈0.05 ）, IBP group and NBP complication electrolyte imbalance and kidney dysfunction incidence was significantly low- er than the control group （ P〈0. 05 ）. Conclusion Hypertensive cerebral hemorrhage in the rescue by a continuous monitoring of intracranial pressure changes in condition monitoring of significant value, it is possible to provide the information necessary to support the rescue.