颅内压持续监护在重型颅脑损伤患者术后治疗中的应用效果观察

Application Effect Observation of Continuous Monitoring of Intracranial Pressure in Postoperative Treatment of Patients with Severe Traumatic Brain Injury

目的对重型颅脑损伤患者术后治疗使用颅内压持续监护的临床效果进行研究探讨。方法选取2020年1月—2022年12月在本院接受治疗的重型颅脑损伤患者54例为研究对象,以抓阄的形式将54例患者分为对照组和监护组,两组患者均为27例,分别采用传统神经外科治疗方式和术后颅内压持续监护,对两组的治疗结果进行对比分析。结果监护组治疗效果和患者预后明显优于对照组,差异有统计学意义(P<0.05)。监护组术后并发症发生明显更少,差异显著有统计学意义(P<0.05)。监护组患者脱水剂使用剂量、使用时间及住院时间明显少于对照组,差异有统计学意义(P<0.05)。结论重症颅脑损伤患者术后治疗应用颅内压持续监护能有效改善患者预后,加快患者术后恢复,缩短患者住院时间,显著提升整体治疗效果,同时可有效减少脱水剂使用剂量及使用时间,对防止患者术后发生并发症有积极作用,对患者恢复更有利。

Objective To investigate clinical effect of continuous intracranial pressure monitoring in postoperative treatment of patients with severe traumatic brain injury.Methods The paper chose 54 patients with severe traumatic brain injury in our hospital from January 2020 to December 2022,and divided them into control group and monitoring group randomly by drawing lots,with 27 cases in each group,treated with traditional neurosurgical treatment and continuous postoperative intracranial pressure monitoring.Curative effect was compared and analyzed between two groups.Results Curative effect and prognosis of monitoring group was significantly better than control group,with significant difference(P<0.05).Incidence of postoperative complications in monitoring group was significantly lower,with statistically significant difference(P<0.05).Dosage,duration,and length of stay of dehydrating agents in monitoring group was significantly lower than control group,with statistically significant difference(P<0.05).Conclusion Continuous intracranial pressure monitoring can effectively improve prognosis,accelerate postoperative recovery,shorten hospital stay,improve overall curative effect significantly,and reduce dosage and duration of dehydrating agents effectively in postoperative treatment of severe traumatic brain injury patients,which has positive effect on preventing postoperative complications and is beneficial for recovery of patients.