重型颅脑损伤患者行持续颅内压监测的临床价值及护理

Clinical Value and Nursing Care of Continuous Craniocerebral Pressure Monitoring in Patients With Severe Craniocerebral Injury

目的探讨重型颅脑损伤患者颅内压持续性监测的临床价值及护理措施。方法将研究对象随机分为对照组和观察组,每组各46例,对照组结合患者病情观察和相关检查结果等情况,进行常规治疗护理,观察组在常规治疗护理的基础上安置颅内压监测传感器,根据颅内监测结果实时调整治疗方案,观察两组患者疗效、并发症及护理满意度。结果观察组在术后生理机能恢复、并发症发生率以及护理满意度明显优于对照组,差异具有统计学意义(P <0.05)。结论重型颅脑损伤患者进行持续颅内压监测,一方面有助于根据颅内压力变化情况及时进行有效的调控,提高患者脑灌注压,减少脑梗死的发生;另一方面减少并发症的发生,提高患者的生存质量、护理满意度以及改善患者预后。

Objective To explore the clinical nursing of continuous monitoring of intracranial pressure in patients with severe craniocerebral injury.Methods The subjects were randomly divided into the control group and the observation group,with 46 cases in each group.The control group was given the routine treatment and nursing combined with the patient's condition and the related examination results.The observation group placed the intracranial pressure monitoring sensor on the basis of the routine treatment nursing,and adjusted the treatment plan in real time according to the results of the intracranial monitoring.The efficacy,complications and nursing satisfaction of the two groups were observed.Results The postoperative physiological function recovery,complication rate and nursing satisfaction of the observation group were significantly better than those of the control group,the difference was statistically significant(P<0.05).Conclusion The continuous intracranial pressure monitoring for patients with severe craniocerebral injury is helpful to timely and effective control according to the changes of intracranial pressure,improve the cerebral perfusion pressure and reduce the occurrence of cerebral infarction,on the other hand,reduce the occurrence of complications,improve the patient's quality of life,nursing satisfaction and the prognosis of patients.