持续颅内压监护在高血压脑出血术后应用中的效果观察

The observation of the effect of continuous intracranial pressure monitoring applica- tion on postoperative hypertension cerebral hemorrhage

目的探讨持续颅内压监护在高血压脑出血术后的临床应用及护理体会。方法回顾性分析安徽医科大学第一附属医院神经外科2013年5月～2016年8月收治的高血压脑出血患者80例，按颅内压监护传感器植入与否分为试验组与对照组，对照组给予常规治疗与护理，试验组同时予以颅内压监护，比较两组患者脱水剂使用量、并发症发生率及预后情况。结果试验组脱水剂用量情况、术后GOS评分明显优于对照组（P〈0．05），而二组并发症的发生率无明显差异（P〉0．05）。结论高血压脑出血术后给予持续颅内压监护及精心的护理，可减少患者脱水剂的用量，提高GOS评分，改善预后，提高患者生存质量。

Objective To explore the clinical application and the related nursing experience of continuous i tracranial pressure monitoring postoperative hypertension cerebral hemorrhage. Methods A retrospective analysis of 80 cases of hypertensive cerebral hemorrhage patients from May 2013 to August 2016 in our department was performed. Patients were divided into the experimental group and the control group, according to whether ICP monitor were implanted. The control group received conventional treatment and nursing, while the experimental group received ICP monitoring at the same time. The amount of dehydrating agent and prognosis of the two groups were compared. Results The amount of dehydrating agent and the postoperative GOS scores of the experimental group were significantly better than that of the control group （P〈0.05） . Whereas the incidence of complications of the two groups had no significant difference （P〉 0.05） . Conclusions Postoperative ICP monitoring and careful nursing for patients with hypertension cerebral hemorrhage can reduce the amount of dehydrating agent, and improve GOS scores, the prognosis and survival quality of patients.