气压治疗对重型颅脑损伤患者颅内压的影响

目的：观察气压治疗对重型颅脑损伤患者颅内压的影响。方法选取40例行IC P监护的患者，按入院顺序分为A组20例和B组20例，在术后12 h ，A组取仰卧位头部抬高15°，B组取仰卧位头部抬高30°，两组患者应用空气波治疗仪的P1、P2、P3模式结合两种压力8、10 kPa行双侧下肢治疗，观察患者实施空气波压力治疗后，治疗前、中、后颅内压的变化。结果 A、B两组患者应用两种压力结合三种模式下行压治疗时，充气末颅内压与治疗前相比，差异有统计学意义，放气末颅内压与治疗前相比，差异无统计学意义，治疗前后颅内压比较差异无统计学意义。结论术后12 h行双侧下肢气压治疗时，在气压治疗充气阶段需密切监测患者颅内压变化。

The effect of intermittent pneumatic compression on intracranial pressure of patients with severe traumatic brain injury

Objective To observe the effect of intermittent pneumatic compression on intracranial pressure in patients with Severe traumatic brain injury .Methods 40 patients with ICP monitoring were divided into group A (n=20) and control group B (n=20) ,according to admission order .In 12 hours after neurosurgical surgery ,group A was positioned with supine head of bed 15° ,and group B was positioned with supine head of bed 30° ,both groups were underwent intermittent pneumatic compres‐sion treatment on bilateral lower extremity with the three models P1 ,P2 ,P3 and the two pressures 8 ,10 kPa .The intracranial pressure changes before ,during ,after the treatment were recorded and analyzed after intermittent pneumatic compression treat‐ment for patients .Results When group A ,B were underwent intermittent pneumatic compression treatment with the three models and the two pressures ,there was significant difference between intracranial pressure in the compression phase and be‐fore the treatment .There was no significant difference between intracranial pressure in the deflation phase and before the treat‐ment .There was no significant difference between intracranial pressure before and after treatment .Conclusion When both low‐er limbs receive intermittent pneumatic compression in 12 hours after craniotomy ,closely observation of intracranial pressure in the compression phase of intermittent pneumatic compression treatment should be needed .