颅内压监测临床应用中的护理新进展-newcenturysciencepress.pdf

/index.php/gjanp Global Journal of Advanced Nursing Practice，2015,Vol.2,No.1 New progress of nursing of intracranial pressure monitoring in clinical application Guo Wenjie Department of Neurosurgery, Luhe Teaching Hospital, Capital Medical University, Tongzhou, Beijing, China Received: Dec 17, 2014 Accepted: Jan 06, 2015 Published: Mar 31, 2015 DOI:10.14725/gjanp.v2n1.a975 URL:/10.14725/gjanp.v2n1.a975 This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Intracranial pressure monitoring is gradually applied in the field of neurology and neurosurgery as it is the most direct, rapid, objective and accurate method in diagnosis of intracranial hypertension with the constant improvement of medical level. This article has made the detailed introduction to basic knowledge of intracranial pressure monitoring, monitoring methods, monitoring intracranial pressure in clinical application, the nursing staff training, instrument management, pipeline, numerical waveform observation and nursing factors that influence intracranial pressure fluctuation, to improve the nursing on intracranial pressure in clinical application of monitoring, timely detection of potential of intracranial hypertension, provide accurate monitoring data of intracranial pressure and treatment of patients with intracranial hypertension for clinicians. Key words Intracranial pressure; Intracranial pressure monitoring; Nursing 颅内压监测临床应用中的护理新进展 郭文杰 首都医科大学潞河教学医院神经外科，北京通州，中国 通讯作者：郭文杰，E-mail: lianen825@163.com 【摘要】随着医疗水平的不断提高，颅内压监测作为诊断颅内高压最直接、最迅速、客观和准确的方法在神经内外科及重症 领域得到逐步应用。本文就颅内压监测的基础知识、监测方法、临床应用及临床应用中对护理人员的培训、仪器管理、管路 护理、数值波形观察及影响颅内压波动的护理因素做了详细概述，期望提高护理人员对颅内压监测临床应用的护理，及时发 现潜在的颅高压，为临床医生提供准确的颅内压监测数据以及时救治颅高压患者。 【关键词】颅内压；颅内压监测；护理 颅内压增高是神经外科临床护理工作中常遇到的一个重要问题。中重型颅脑损伤、脑出血经常引起急 性颅内压增高，颅内肿