研究无创颅内压与中心静脉压联合监测在重型颅脑损伤治疗中的临床有效性

目的研究无创颅内压（ICP）与中心静脉压（CVP）联合监测在重型颅脑损伤治疗中的临床有效性。方法：选取142例重型颅脑损伤患者，依据入院的时间顺序分为为两组，对照组（n=72）以及研究组（n=70）对照组实施单纯ICP监测，研究组在对照组基础上，实施CVP检测，对比两组的抢救存活率、预后情况等指标。结果：研究组的总存活率88．57％（62／70）明显优于对照组的41．67％（30／70）（P〈0．05），4-7 mmH20范围的存活率100．00％（30／30）明显高于7-10 mmH20以及1-4 mmH20这两个范围的存活率（P〈0．05）。结论：将两者同时应用在患者监测过程中，可明显提高预后效果，降低死亡率，挽救患者生命，同时也有利于恢复其自理能力，值得推广。

Objective to study the noninvasive intracranial pressure （ICP） and central venous pressure （CVP） monitoring in clinical efficacy in the treatment of se-vere head injury. Selection methods： 142 cases of severe craniocerebral injury patients as the research object, according to admission time sequence is divided intotwo groups： control group （n = 72）, and group （n = 70） in the control group implement simple ICP monitoring, the team in the control group, based on the imple-mentation of CVP detection, compared two groups of rescue survival rate and prognosis index. Results： in this study, the team＇s total survival rate 88.57% （62/70）is superior to the control group was 41.67% （30/70） （P〈0.05） 4-7 mmH20 range of survival rate 100.00% （30/30） was significantly higherl-4 mmH20 7-10mmH20 and scope of the two survival rate （P〈0.05）.Conclusion： to apply both in the process of patient monitoring, can obviously improve the effect of prognosis,reduce mortality, save the patients life, as well as to restore its ability to care for, is worth promoting.