有创动态颅内压监测在重型颅脑外伤患者手术救治中的应用效果

Application effect of invasive dynamic intracranial pressure monitoring in surgical treatment of patients with severe craniocerebral trauma

目的探讨有创动态颅内压监测在重型颅脑外伤患者手术救治中的应用效果。方法回顾性分析2016年6月~2018年6月我院收治的28例重症颅脑外伤行有创动态颅内压监测+手术治疗患者的临床资料,将其作为观察组,另选取同期入院后接受手术治疗+常规监测的28例重症颅脑外伤患者作为对照组,比较两组患者的术中急性脑膨出率、ICU住院时间、总住院时间、并发症发生情况,并根据格拉斯哥预后量表(GOS)评分判定患者的预后情况。结果观察组患者的术中急性脑膨出率低于对照组,预后良好率高于对照组,差异均有统计学意义(P<0.05);观察组患者的ICU住院时间、总住院时间均短于对照组,差异有统计学意义(P<0.05);观察组患者的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论有创动态颅内压监测应用于重症颅脑外伤患者,可以降低术中急性脑膨出率,缩短住院时间,有利于控制并发症的发生,提高预后效果。

Objective To explore the application effect of invasive dynamic intracranial pressure monitoring in the surgical treatment of patients with severe craniocerebral trauma. Methods From June 2016 to June 2018, the clinical data of 28 patients with severe craniocerebral trauma who underwent invasive dynamic intracranial pressure monitoring +surgical treatment in our hospital were analyzed retrospectively, and as the observation group. At the same time, 28 patients with severe craniocerebral trauma who received surgical treatment plus routine monitoring after admission were selected as the control group. The intraoperative acute encephalocele rate, ICU hospitalization time, total hospitalization time and complications of the two groups were compared, and the prognosis was determined by Glasgow outcome scale(GOS) score. Results The intraoperative acute encephalocele rate in the observation group was lower than that in the control group, and the good prognosis rate in the observation group was higher than that in the control group, the differences were statistically significant(P<0.05). The ICU hospitalization time and total hospitalization time in the observation group were shorter than those in the control group, and the differences were statistically significant(P<0.05). The total complication rate in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion The application of invasive dynamic intracranial pressure monitoring in patients with severe craniocerebral trauma can reduce the rate of intraoperative acute encephalocele, shorten the hospitalization time, help to control the occurrence of complications, and improve the prognosis.