持续颅内压监测在高血压脑出血微创手术中的应用和护理

Application and nursing of continuous intracranial pressure monitoring in treatment of hypertensive intracerebral hemorrhage through minimally invasive surgery

目的探讨持续颅内压监测在高血压脑出血微创手术治疗中的应用价值。方法分析本院2014年01月至2014年12月收治的HICH微创手术治疗的病例。应用ICP监测组14例,术后依ICP变化随时调整治疗方案。应用软通道组19例,根据经验进行神经外科常规治疗。比较2组患者的疗效。结果治疗3个月后按KPS评分评估,ICP监测组有效率100%,软通道组有效率84%,2组治疗情况的分布差别有统计学意义(P<0.05)。结论持续ICP监测联合定向软通道微创手术治疗高血压脑出血,可以提高疗效,改善预后。

Objective To explore the value of continuous intracranial pressure monitoring in the treatment of hypertensive intracerebral hemorrhage through minimally invasive surgery. Methods The data of cases of hypertensive intracerebral hemorrhage through minimally invasive surgical treatment were collected and retrospectively analyzed in our hospital from January 2014 to December 2014. Fourteen of them received the intracranial pressure monitoring adjusting the treatment plan according to the changes of intracranial pressure at any time after operation, and 19 of them were given the soft channel performing routine neurosurgical treatment based on experience. The course and efficacy were compared between two groups. Results According to the KPS score three months after the treatment, the effective rate of the intracranial pressure monitoring group reached 100% and that of the soft channel group was 84%, and there was a significant difference. Conclusion The continuous intracranial pressure monitoring combined with the directional software channel minimally invasive surgery can improve the efficacy and prognosis in the treatment of hypertensive intracerebral hemorrhage.