持续有创颅内压监测护理干预对重型颅脑损伤患者预后的影响

Effect of continuous invasive intracranial pressure monitoring and nursing intervention on prognosis of patients with severe craniocerebral injury

目的探讨持续有创颅内压(ICP)监测护理干预对重型颅脑损伤(SBI)患者预后的影响。方法选取2016年1月~2018年11月我院收治的136例SBI患者作为研究对象,按照随机数字表法分对照组(70例)和实验组(66例)。对照组行常规护理监测ICP,实验组使用持续有创ICP监测护理干预,比较两组预后效果。结果动态监测两组的ICP变化,实验组有15例中度及重度ICP升高,经二次抢救后4例死亡;对照组ICP升高患者21例,死亡15例。实验组住院时间短于对照组,甘露醇使用量少于对照组,并发症总发生率低于对照组,患者预后效果明显好于对照组,差异均有统计学意义(P<0.05)。结论持续有创ICP监测护理干预可及时监测患者ICP变化情况,缩短患者住院时间,减少并发症的发生,对SBI患者预后效果明显提高,可在临床监测中进一步推广。

Objective To explore the effect of continuous invasive intracranial pressure (ICP) monitoring and nursing intervention on prognosis of patients with severe craniocerebral injury(SBI). Methods A total of 136 cases of patients with SBI admitted to our hospital from January 2016 to November 2018 were selected, who were divided into the control group (70 cases) and the experimental group (66 cases) according to random number table classification. The control group was given routine nursing care to monitor ICP, and the experimental group was given continuous invasive ICP monitoring and nursing intervention, and the prognostic effects of the two groups were compared. Results The ICP changes in the two groups were dynamically monitored. In the experimental group, there were 15 patients with moderate and severe ICP elevation, 4 patients died after the second rescue;21 patients with ICP elevation in the control group and 15 patients died. The hospitalization time of the experimental group was shorter than that of the control group, the use of Mannitol was less than that of the control group, the total incidence of complications was lower than that of the control group, the prognosis of the patients was significantly batter than that of the control group, and the differences were statistically significant (P<0.05). Conclusion Continuous invasive ICP monitoring and nursing intervention can timely monitor the changes of ICP, shorten the hospitalization time, reduce the occurrence of complications, and significantly improve the prognosis of patients with SBI, which can be further promoted in clinical monitoring.