持续颅内压监测对高血压性脑出血治疗的应用价值

Application Value of Continuous Intracranial Pressure Monitoring in Treatment of Hypertensive Cerebral Hemorrhage

目的:分析高血压性脑出血患者行持续颅内压监测的意义。方法:选取2018年1月-2021年6月中山大学附属第三医院粤东医院收治的高血压性脑出血患者40例为观察对象,根据随机数字表法分为对照组与观察组,各20例。对照组给予常规治疗,观察组在对照组基础上联合持续颅内压监测。比较两组患者预后效果,甘露醇使用状况,ICU住院时间、格拉斯哥预后评分(GOS)。结果:观察组预后有效率高于对照组,差异有统计学意义(P<0.05)。观察组甘露醇使用时间、使用剂量低于对照组,差异有统计学意义(P<0.05)。观察组ICU住院时间少于对照组,术后GOS评分高于对照组,差异有统计学意义(P<0.05)。结论:在高血压性脑出血患者治疗中持续颅内压监测,可减少患者甘露醇使用量及使用时间,预后效果理想,可缩短住院时间。

Objective:To analyze the significance of continuous intracranial pressure monitoring in patients with hypertensive cerebral hemorrhage.Methods:Forty patients with hypertensive cerebral hemorrhage admitted to the Third Affiliated Hospital of Sun Yat-Sen University,Yuedong Hospital from January 2018 to June 2021 were selected as observation objects,and were divided into control group and observation group according to random number table method,with twenty cases in each group.The control group was given routine treatment,and the observation group was given continuous intracranial pressure monitoring on the basis of the control group.The prognostic effect,mannitol use,length of ICU stay and Glasgow Outcome Scale(GOS)score were compared between the two groups.Results:The prognosis effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The time and dosage of mannitol use of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).The length of ICU stay of the observation group was less than that of the control group,and the GOS score after operation of the observation group was higher than that of the control group,with statistical significance(P<0.05).Conclusion:In the treatment of hypertensive cerebral hemorrhage patients,continuous monitoring of intracranial pressure can reduce the dosage and time of mannitol use in patients with ideal prognosis,and shorten the length of hospital stay.