双额叶脑挫裂伤治疗中持续颅内压监测的价值分析

Value Analysis of Continuous Intracranial Pressure Monitoring in the Treatment of bilateral Frontal Lobe Contusion and Laceration

目的探究双额叶脑挫裂伤治疗中持续颅内压监测的应用价值。方法回顾性分析96例2020年1月至2022年10月本院收治双额叶脑挫裂伤患者临床资料,其中48例接受持续颅内压监测表示为监测组,48例未接受持续颅内压监测表示为非监测组,通过临床指标、预后情况、并发症等统计分析评价持续颅内压监测效果。结果监测组颅脑CT扫描次数、电解质紊乱发生率、住院时间、格拉斯昏迷评分量表(GCS)评分、恢复良好率、并发症总发生率均优于非监测组(P<0.05);监测组开颅清除血肿率14.58%,略高于非监测组8.33%(χ^(2)=0.924,P>0.05);监测组颅内压>60 mm Hg 8例,颅内压41~60 mm Hg 18例,颅内压≤40 mm Hg 22例,恢复良好率分别为12.50%、38.89%、72.73%,并发症发生率分别为25.00%、5.56%、0,差异显著(χ^(2)=9.934、6.281,P<0.05)。结论双额叶脑挫裂伤治疗过程中为患者行持续颅内压监测干预,可在一定程度上减少颅脑CT扫描次数,为患者治疗方案改善提供指导,减少患者电解质紊乱与其他并发症发生率,改善患者预后,更好保障患者健康与安全。

Objective To explore the value of continuous intracranial pressure(ICP)monitoring in the treatment of bilateral frontal lobe contusion and laceration.Methods The clinical data of 96 patients with bilateral frontal lobe contusion and laceration from January 2020 to October 2022 were analyzed retrospectively,48 patients who did receive continuous intracranial pressune monitoring were regarded as monitoring group,48 patients who did not receive continuous intracranial pressure monitoring were regarded as non-monitoring group.The effect of continuous intracranial pressure monitoring was evaluated by statistical analysis of clinical indexes,prognosis and complications.Results The number of cranial CT scans,incidence of electrolyte disturbances,length of hospitalization,Glass Coma Scale(GCS)score,good recovery rate,and total complication rate were all better in the monitoring group than in the non-monitoring group(P<0.05).The rate of removing hematoma through craniotony in the monitoring group was 14.58%,slightly higher than that in the non-monitoring group(8.33%).In the monitoring group,8 cases had ICP 60 mm Hg,18 cases had ICP 41-60 mm Hg,22 cases had ICP≤40 mm Hg,the recovery rates were 12.50%,38.89%,72.73%respectively,the incidence of complications was 25.00%,5.56%and 0 respectively,the difference was significant(χ^(2)=9.934,6.281,P<0.05).Conclusion Continuous intracranial pressure monitoring intervention during the treatment of bilateral frontal lobe contusion and laceration can reduce the times of CT scan to some extent,and provide guidance for the improvement of the treatment plan,it can reduce the occurrence rate of electrolyte disturbance and other complications,improve the prognosis of patients and ensure the health and safety of patients.