| 摘要: |
| ［摘要］ 目的 探讨颅内压（intracranial pressure,ICP）监测在微创穿刺外引流治疗高血压脑出血中的作用。方法 收集2013-04～2017-04在该科住院行脑出血微创穿刺外引流治疗的97例患者，随机分为两组进行对比研究，观察组50例行ICP监测，对照组47例不行ICP监测,对两组术后并发症发生情况、术后6个月格拉斯哥预后量表(Glasco of score，GOS)进行评价。结果 观察组患者术后GOS评级优于对照组（Z=-3.534，P=0.000）；电解质紊乱、肺部感染、应激性溃疡、肾功能损害发生率均低于对照组，差异有统计学意义（P<0.05)。结论 ICP监测应用于高血压脑出血微创穿刺引流术安全有效，利于及时发现病情变化而调整治疗方案，对合理使用脱水剂、预防并发症、改善预后等方面均有积极意义。 |
| 关键词: 高血压脑出血 微创穿刺引流 并发症 颅内压监测 |
| DOI：10.3969/j.issn.1674-3806.2018.08.08 |
| 分类号:R 544.1 |
| 基金项目:广西百色市科学研究与技术开发计划项目（编号：百科计20130133） |
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| Application of intracranial pressure monitoring in intracranial puncture and drainage in patients with hypertensive intracerebral hemorrhage |
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LU Ming-xiong, LI Ting-yang, HUANG Hai-chang, et al.
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Department of Neurosurgery, the People′s Hospital of Baise City, Guangxi 533000, China
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| Abstract: |
| ［Abstract］ Objective To explore the application of intracranial pressure(ICP) monitoring in intracranial puncture and drainage in patients with hypertensive intracerebral hemorrhage. Methods Ninety-seven patients with hypertensive cerebral hemorrhage received intracranial puncture and drainage in our department between April 2013 and April 2017. They were randomly divided into two groups: observation group(n=50)(receiving ICP monitoring) and control group(n=47)(receiving non-ICP monitoring). The incidence of postoperative complications and Glasco of scores(GOS) were compared between the two groups 6 months after operation. Results GOS grading of the observation group was better than that of the control group 6 months after operation（P<0.05）. Compared with those in the control group, the incidence rates of pneumonia, stress ulcer and renal dysfunction in the observation group were decreased significantly（P<0.05）. Conclusion The use of ICP monitoring is safe and effective for intracranial puncture and drainage in the patients with hypertensive intracerebral hemorrhage. |
| Key words: Hypertensive cerebral hemorrhage Intracranial puncture and drainage Complication Intracranial pressure monitoring |
