摘要
目的探讨术中持续颅内压（ICP）监测在治疗重型颅脑创伤患者中的应用价值。方法对我科2008年3月至2010年3月收治的58例重型颅脑创伤患者的术中ICP监测结果进行分析。根据预后情况分为较好组（GOS4-5分）和较差组（GOS1-3分），分析并比较两组患者开颅术中ICP的波动规律及其对手术操作和预后的影响。结果两组间手术初始、去除骨瓣后及关颅术后的ICP均值以及两组各步骤间ICP波动变化差异有统计学意义（P＜0．01）。结论术中ICP监测在治疗重型颅脑外伤患者中有助于及时发现问题，指导治疗及评估预后，具有重要的临床应用价值。
Objective To explore the value of intraoperative continuous monitoring of intracranial pressure（ICP） in the treatment of patients with severe traumatic brain injury （sTBI）. Methods ICP results of fifty - eight cases with sTBI were analyzed retrospectively from March 2008 to March 2010. According to the prognosis, patients were divided into two groups, the good group （ GOS 4 - 5 ） and poor group（ GOS 1 ~3 ）, and the intraoperative ICP fluctuation , surgical procedures and prognosis between two groups were analyzed and compared. Results The mean ICP of initial, bone removed and bone closed phase between the two groups, and the ICP fluctuation between each phase have statistical significance （ P〈0.01）. Conclusion Intraoperative ICP monitoring contributes to identify problems timely, guide treatment and assess prognosis, and plays an important clinical value in the treatment of sTBI patients.
出处
《中华神经外科杂志》
CSCD
北大核心
2012年第2期116-118,共3页
Chinese Journal of Neurosurgery
关键词
术中颅内压
重型颅脑创伤
监测
Intraoperative ICP
Severe traumatic brain injury
Monitoring
