无创颅内压监测对重型颅脑损伤治疗上的应用研究

目的:探讨无创颅内压监测在重型颅脑损伤治疗上的临床应用。方法:回顾性分析近3年来我院神经外科收治194例重型颅脑损伤患者的临床资料,将患者随机分为治疗组和对照组,每组各97倒,对照组接受外科常规治疗,治疗组在此基础上,使用闪光视觉诱发电位PVEP进行颅内压监测。比较分析伤后3个月两组患者的预后情况。结果:治疗组预后情况显著优于对照组,两组GOS评分的差异有统计学意义(P<0.05)。结论:无创颅内压监测重型颅脑损伤患者有助于早期判断病情变化,调整治疗方案,提高治治愈率,降低残死率,改善患者预后。

The Application of Noninvasive Monitoring of Intracranial Pressure in Severe Craniocerebral Injury Therapy

Objective:To explore the clinical application of noninvasive monitoring of intracranial pressure in severe craniocerebral injury treatment.Methods:The clinical data of 194 patients with severe craniocerebral injury treated at neurosurgery of our hospital in three years were retrospective analyzed and these patients were randomly separated into two groups including therapeutic group and control group,each of which had 97 patients.In control group,the patients received common surgical treatment;flash visual evoked potential PVEP was used to conduct intracranial pressure monitoring based on control group in therapeutic group.The prognosis was estimated after injury for three months.Results:The prognosis in therapeutic group was better than that in control group with significant difference for GOS score(P<0.05).Conclusions:Noninvasive monitoring is helpful to diagnose pathological condition,adjust therapeutic program,enhance cure rate,reduce mutilation rate and lethality and improve prognosis in the patients with severe craniocerebral injury.