微创颅内压监测在重型颅脑外伤治疗中的应用

doi:10.3969/j.issn.1671-7171.2018.09.007

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Abstract 【Objective】 To study the curative efficacy of minimally invasive intracranial pressure monitoring probe in implantation of severe craniocerebral trauma and its significance. 【Methods】 The clinical data of 40 patients with severe craniocerebral trauma treated in our hospital were retrospectively analyzed. According to the different monitoring methods of ICP, It was divided into observation group (with minimally invasive implant probe) and control group (routine general anesthesia borehole implantation monitoring probe) with 20 cases in each group.According to the monitoring results, the patients were given corresponding treatment and followed up for a period of one year after the treatment. Glasgow prognosis score (GOS), NIHSS, complications and death were compared between the two groups. 【Results】 In the observation group, the operation time and intraoperative bleeding volume were (13.47 ±3.58) min, (65.21 ±6.11) mL,significantly lower than those in the control group (36.68 ±2.62) min, (97.43±12.63) mL, the difference was statistically significant (P<0.05). Before treatment, there was no significant difference in GOS,NIHSS score between the two groups (P>0.05). After treatment, the GOS score of the two groups was higher than that before treatment ,and the observation group was higher than the control group, the difference was statistically significant (P<0.05). The NIHSS score of the two groups was lower than that before treatment(P<0.05). The NIHSS score in the observation group was significantly lower than that in the control group,the difference was statistically significant (P<0.05).The incidence of complications in the observation group was 25.00% (5 / 20), which was significantly lower than that in the control group (60.00%,12 / 20). The difference was statistically significant(χ²=5.013,P=0.025<0.05). The total mortality of patients in the observation group was 20.00% (4 / 20) which was significantly lower than that in the control group (50.00% 10 / 20), and the difference was statistically significant(χ²=6.241,P=0.013<0.05).【Conclusion】 In the treatment of severe craniocerebral trauma patients, the microinvasive intracranial pressure probe implantation can also accurately monitor the intracranial pressure in patients, and has the advantages of reducing operation time, reducing trauma, simple operation and fewer complications, etc. It can also improve the prognosis of patients and reduce the mortality rate, which is worthy of clinical application.

Key words： Craniocerebral Trauma Critical Illness Intracranial Pressure

Received: 09 March 2018

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R651.15

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	ZHOU Hai
	TENG Hong-wei
	ZHOU Jing
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ZHOU Hai,TENG Hong-wei,ZHOU Jing, et al. Curative Efficacy of Minimally Invasive Intracranial Pressure Monitoring Probe in Implantation of Heavy Head Trauma[J]. JOURNAL OF CLINICAL RESEARCH, 2018, 35(9): 1686-1689.

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2018.09.007 OR http://www.jcr.net.cn/EN/Y2018/V35/I9/1686

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