术中颅内压监测辅助重型颅脑创伤治疗效果观察

Clinical effect observation of intraoperative intracranial pressure monitoring in the auxiliary of severe craniocerebral trauma

目的观察术中颅内压监测辅助重型颅脑创伤治疗效果。方法选取重型颅脑创伤患者126例作为研究对象,患者均采取手术治疗,根据患者术中颅内压监测情况分为试验组(颅内压监测)和对照组(常规方式评估颅内压)各63例,对比2组治疗后恢复情况,并发症及住院时间。结果试验组患者预后较对照组良好,差异有统计学意义(P<0.05)。试验组并发症发生率为11.2%低于对照组的28.5%,差异有统计学意义(P<0.05)。试验组住院时间为(5.26±1.32)d短于对照组的(10.22±4.25)d,差异有统计学意义(P<0.05)。结论对于颅脑手术的重型颅脑创伤患者,患者在手术治疗过程中持续性的监测颅内压变化情况,有利于患者治疗方案的及时调整,患者预后较好,且能够降低患者并发症发生率,建议临床推广使用。

Objective To observe the clinical effect of intraoperative intracranial pressure monitoring in the auxiliary of severe craniocerebral trauma.Methods 126 cases patients with severe craniocerebral trauma were randomly divided into test group（intracranial pressure monitoring） and control group（conventional assessment of intracranial pressure）,each of 63 cases.Compared the recovery situation,complication and hospitalization time of 2 groups.Results The prognosis of test group was better than that of control group,the difference was statistic significantly（P〈0.05）.The complications rate of test group（11.2%） was lower than that of control group（28.5%）,the difference was statistic significantly（P〈0.05）.The hospitalization time（5.26±1.32）d was shporter than that of control group （10.22±4.25）d,the difference was statistic significantly（P〈0.05）.Conclusion For the severe craniocerebral injury patients,Continuous monitoring of intracranial pressure during surgery is beneficial to the treatment timely adjustmeng.The prognosis of patients is more ideal,and can reduce the incidence of complications in patients with the proposed clinical use.