对神经外科危重症患者实施持续有创颅内压监测的意义.pdfVIP

山东医药 20 13 年第 53 卷第 47 期 对神经外科危重症患者实施持续 有创颅内压监测的意义 权哲，李志强，戴新连，沈冬青，马勃，刘宏炜，张宁 (上海交通大学附属第六人民医院南院，上海市奉贤区中心医院， 安徽理工大学上海神经病学研究所，上海 2014∞) 摘要:目的 观察持续有创烦内压(ICP) 监测用于神经外科危重症患者诊治的临床价值。方法 回顾性分析 505 例神经外科危重症患者的的临床资料，比较 2ω 例行有创 ICP 监测(监测组)和 245 例未行有创 ICP 监测者(对 照组)的并发症发生情况和格拉斯哥预后评分 (GOS) 。结果 两组病因、影像学表现和临床表现相似，但监测组电 解质紊乱和肾功能异常发生率明显低于对照组 ， P 均 0.01(/ 值分别为 43.03 、 30.95) ;监测组轻残率显著高于对 照组 (P 0.05) 、重残率显著低于对照组 (PO.01) 。结论对神经外科危重症患者进行持续有创 ICP 监测，能够 及时、准确了解 ICP 变化并指导临床诊治，从而改善患者预后。 关键词:神经疾病;危重症;颅内压监测;预后 doi: 10. 3969/j. issn. 1 ∞2-266X.2013 .47. ∞5 中图分类号 :R65 1. 1 文献标志码 :A 文章编号: 1 ∞2-266X( 2013 )47 ，，(则 15 ..()3 Application of sustained invasive ICP monitoring in patients with severe neurological disease QUAN Zhe , Ll Zhi-qiα晤 ， DAI Xin-lian , SHEN Dong-qing , MA Bo , LlU Hong切ei ， ZHANG Ning (South Branch of the Six仇 Peoples Hospiωl Affiliated ω Shanghai Jiωωng University , Central Hospitαl of Fengxian District , Shanghai Neurological Research lnstitute of Ar山Lí University of Scie配eαnd Technology , Shαnghα i 2014∞ ， China) Abstract: 。同 ective To explore the clinical value of application of sustained invasive intracranial press町e (IPC) monitoring in patients with severe neurological disease. Methods The clinical data of 505 cases of patients with severe neurological disease , including 2ωpatients undergoing invasive IPC monitoring (monitoring group) and 245 patients who didnl undergo invasive IPC monitoring ( control group) , were retrospectively analyzed. 叽le complications and Glasgow Out? come Scale (GOS) in two groups were compared. Results 币le etiology , imaεing findings and clinical manifestations