摘要
目的探讨应用颅内压监测(ICP)对原发性脑室出血(PIVH)的预后影响。方法 142例行侧脑室外引流并注射尿激酶的PIVH患者按是否应用ICP监测分为ICP监测组和对照组。比较两组预后评价、日常生活能力(ADL)、并发症发生率及再次出血率。结果 ICP监测组预后良好率明显高于对照组,而死亡率明显低于对照组(均P<0.05);ICP监测组出院3个月时ADL明显优于对照组(P<0.05);ICP监测组并发症发生率和再次出血率均明显低于对照组(均P<0.05)。结论应用ICP监测治疗PIVH能有效改善预后,提高患者日常生活能力,减少并发症和再次出血,具有良好的应用前景。
【Objective】 To investigate the effects of intracranial pressure monitoring（ICP） on the prognosis of primary intraventricular hemorrhage（PIVH）.【Methods】 142 PIVH patients who taking external lateral ventricles drainage and injecting of urokinase,according to whether used ICP monitoring were divided into ICP group（86 cases） and control group（56 cases）.Prognostic evaluation,activities of daily living（ADL）,incidence of complication and re-bleeding rate of two groups were compared.【Results】 Good prognosis of ICP group was significantly higher than that of control group,while the mortality rate was significantly lower,the difference was statistically significant（both P 0.05）;ADL of ICP group was significantly better than that of control group when discharge from hospital 3 months later,the difference was statistically significant（P 0.05）;Complication rate of ICP group and re-bleeding rate were significantly lower than that of control group,the difference were statistically significant（both P 0.05）.【Conclusions】 ICP monitoring can improve the prognosis of treating PIVH,the ADL of patients,and reduce complications and re-bleeding rate,has a good prospect.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2012年第28期84-87,共4页
China Journal of Modern Medicine
关键词
颅内压监测
原发性脑室出血
预后
intracranial pressure monitoring
primary intraventricular hemorrhage
prognosis
