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目的观察术中颅内压监测辅助重型颅脑创伤治疗效果。方法选取重型颅脑创伤患者126例作为研究对象,患者均采取手术治疗,根据患者术中颅内压监测情况分为试验组(颅内压监测)和对照组(常规方式评估颅内压)各63例,对比2组治疗后恢复情况,并发症及住院时间。结果试验组患者预后较对照组良好,差异有统计学意义(P<0.05)。试验组并发症发生率为11.2%低于对照组的28.5%,差异有统计学意义(P<0.05)。试验组住院时间为(5.26±1.32)d短于对照组的(10.22±4.25)d,差异有统计学意义(P<0.05)。结论对于颅脑手术的重型颅脑创伤患者,患者在手术治疗过程中持续性的监测颅内压变化情况,有利于患者治疗方案的及时调整,患者预后较好,且能够降低患者并发症发生率,建议临床推广使用。
Objective To observe intraoperative intracranial pressure monitoring to assist the treatment of severe traumatic brain injury. Methods A total of 126 patients with severe traumatic brain injury were selected as study subjects. All patients underwent surgical treatment. According to intracranial pressure monitoring during operation, the patients were divided into experimental group (intracranial pressure monitoring) and control group (normal intracranial pressure assessment) 63 cases, compared with two groups after treatment recovery, complications and hospital stay. Results The prognosis of the trial group was better than that of the control group, with significant difference (P <0.05). The incidence of complications in the experimental group was 11.2% lower than that in the control group (28.5%), the difference was statistically significant (P <0.05). The length of stay in the experimental group was (5.26 ± 1.32) days shorter than that in the control group (10.22 ± 4.25) days, the difference was statistically significant (P <0.05). Conclusions For patients with severe craniocerebral trauma who underwent craniocerebral trauma, the patients’ continuous monitoring of intracranial pressure during the surgical treatment is helpful for the timely adjustment of the treatment plan. The prognosis of patients with severe traumatic brain injury is better and the complication rate can be reduced , It is recommended to promote clinical use.