持续颅内压监测下观察甘露醇不同输注速度的降压效果.pdfVIP

护理学报 2∞8 年 6 月 June ， 2∞8 第 15 卷第6 期 Journal of Nursing(China) Vo1.1 5 No.6 [论著] 持续颅内压监测下观察甘露醇不同输注速度的降压效果 周秀红，黄水英，林御贤，刘利兰 (深圳市龙岗中心医院神经外科，广东深圳 518116) [摘 要]目的 了解不同速度静脉滴注甘露醇降压效果及作用维持时间。方法 将需要定时使用甘露醇的患者随机分为 3 组，观察 1 组:10 min 内输完，观察 2 组:11-20 min 输完，观察 3 组:21ω30 min 输完，分别在输注甘露醇前和输完甘露醇时、输完 甘露醇后 30 min 、输完甘露醇后 6h 记录颅内压(lCP)值，观察不同速度输注甘露醇患者 ICP 的变化。结果 3 组输完甘露醇后 30min 内患者的 ICP 都有下降，以观察 1 组变化的幅度最大。 6h 后患者 ICP 恢复至使用甘露醇前的水平。结论 使用甘露醇降 压时，输注速度越快，其降压效果越好，建议甘露醇使用的间隔时间以 6h 为宜。 [关键词]持续颅内压监测;甘露醇;输液速度;降压效果 [中图分类号] R473.6 [文献标识码] A [文章编号]1∞8-9969(2∞8)06-仪J01 -02 Observation of Pressure-Iowering Effect of Mannitol in Sustained Intracranial Pressure Monitoring ZHOU Xiu-hong, HUANG Shui-ying, LIN Yu-xian, LIU Li-lan (Dept. 01Neurology, Shenzhen μnggang Centra1 Hospíta1, Shenzhen 518116, Chioo) Abstracts: Objective To explore the intracranial pressure (ICP) lowering effects of mannitol injected at different speeds and the effect duration. Methods 四e patients ne哩ding mannital injection were divided into 3 groups at random: the injection for Group A was completed in 10 mínutes , Group 8 , 11-20 minutes , and Group C, 21-30 minutes. ICP values before and during the injection and tho忧 30 minutes and 6 hours after the i叮ection were recorded; changes in the IPC values of the 3 groups were compared. Results 30 minutes after the completion of the injection of mannitol，也e ICP of the patients of all the 3 gI咽ups were decreased, with that of Group A being decreased most greatly. And 6 hOUI百 after the completion, the level of ICP retumed to that before the injection of mannitol. Conclusion The greater the mannitol injectio