颅内压监护在重型颅脑外伤中的作用-外科学(神外)专业论文.docxVIP

Ab Abstract IV IV ABSTRACT objective: to analyze and discuss the role of intracranial pressure monitoring in severe traumatic brain injury, for the future of the craniocerebral trauma treatment and care to provide certain theoretical basis. Methods: selection of 60 patients admitted in the NO.94 hospital of the Peoples Liberation Army (PLA) neurosurgery severe cra niocerebral injury patients as the research object, according to the hospital ethics committee approval, and the patient families agree cases randomly divided into observation group and control group, 30 cases in each group. the method of intracranial pressure monitoring in patients in ICP group after operation,by the nursing staff to record every hour changes of the intracranial pressure, Patients in the routine group to implement the routine monitoring method, two groups of patients respectively according to their respective monitoring method, based on the principle of severe craniocerebral trauma treatment, rehabilitation of patients in the two groups were compared, found again surgery time and the corresponding prognosis and treatment of mannitol, ICP correlation and non correlation complications occurrence condition changes. Results: 1.The Glasgow outcome score curative effect of two groups of patients in different methodstake care after 3 months. In ICP group good in 21 cases (70.0%), mild disability in 4 cases (13.3%), severe disability in 2 cases (6.7%), moderate disability in 2 cases (6.7%), death in 1 case (3.3%); and routine group in good 10 cases (33.3%), moderate disability in 4 cases (13.3%), severe disability in 6 cases (20.0%), mild disability in 5 cases (16.7%), death in 5 cases (16.7%), ICP patients of rehabilitation is superior to the conventional group, two groups score difference has statistical significance (P 0.05). 2.In most patients with ICP ICP were observed by ICP group after 7 days ICP changes. It is found that there is a certain rule, and from the ICP variatio