持续颅内压监测指导滇东北地区重型颅脑损伤治疗的临床分析

Clinical Analysis of Continuous Intracranial Pressure Monitoring to Guide the Treatment of Severe Craniocerebral Injury in Northeast Yunnan

目的研究滇东北高原地区重型颅脑损伤患者应用持续颅内压监测指导的效果,从而为日后的临床诊疗工作作出一定的贡献。方法回顾性分析该院接收的60例高原地区重型颅脑损伤患者,选取的时间范围为2017年6月—2019年6月,根据对患者的不同处理方法将其分为监测组与常规组,监测组应用了持续颅内压监测指导,常规组未用颅内压监测指导。分析两组患者的预后情况、并发症发生概率。结果监测组患者的并发症发生概率10.00%低于常规组患者36.67%,两组之间的数据差异有统计学意义(χ^2=5.963,P=0.015<0.05);监测组患者的预后较差比例10.00%低于常规组患者33.33%,两组之间的数据差异有统计学意义(χ^2=4.812,P=0.028<0.05);监测组患者的治疗满意度90.00%优于常规组患者66.67%,两组之间的数据差异有统计学意义(χ^2=4.812,P=0.028<0.05)。结论针对滇东北地区重型颅脑损伤患者应用颅内压监测指导临床治疗效果良好,可以有效改善患者的预后情况,降低病死率发生概率,可以为后续的治疗提供良好的帮助,有效提高患者的存活率,对患者有积极作用。

Objective To study the effect of continuous intracranial pressure monitoring and guidance for patients with severe head injury in the northeastern plateau of Yunnan,so as to make some contributions to the clinical diagnosis and treatment in the future.Methods A retrospective analysis of 60 patients with severe craniocerebral injury in the plateau region received by the hospital was selected from June 2017 to June 2019.According to different treatment methods for patients,they were divided into monitoring group and routine group,the monitoring group applied continuous intracranial pressure monitoring guidance,the routine group did not use intracranial pressure monitoring guidance.The prognosis and probability of complications of the two groups of patients were analyzed.Results The probability of complications in the monitoring group was 10.00%lower than that in the routine group 36.67%.The data difference between the two groups was statistically significant(χ^2=5.963,P=0.015<0.05);the prognosis of patients in the monitoring group poor ratio was 10.00%lower than that of the routine group 33.33%.The data difference between the two groups was statistically significant(χ^2=4.812,P=0.028<0.05);the treatment satisfaction of the monitoring group was 90.00%better than the routine group of 66.67%,and the data difference between the two groups was statistically significant(χ^2=4.812,P=0.028<0.05).Conclusion For patients with severe craniocerebral injury in northeastern Yunnan,the application of intracranial pressure monitoring to guide clinical treatment has good results,which can effectively improve the prognosis of patients and reduce the probability of mortality.It can provide good help for subsequent treatment and effectively improve the survival rate of patients has a positive effect on patients.