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| 持续有创颅内压监测在颅脑损伤术后的应用价值 |
| Clinical application of invasive intracranial pressure continuous monitoring after craniocerebral injury operation |
| 投稿时间：2018-01-09 |
| DOI：10.3969/j.issn.1000-0399.2018.08.008 |
| 中文关键词: 颅内压监测 颅脑损伤 重残率 病死率 预后 |
| 英文关键词: Intracranial pressure monitoring Craniocerebral injury Severe disability Mortality Prognosis |
| 基金项目:滁州市科技指导性计划项目（项目编号：201501） |
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| 中文摘要: |
| 目的 探讨持续有创颅内压监测在颅脑损伤术后的应用价值。方法 选择2015年10月至2017年8月滁州市第一人民医院神经外科行手术治疗的56例颅脑损伤患者为研究对象，简单随机分为观察组与对照组，每组28例。观察组采用颅内监护仪行颅内压监测，对照组采用传统方法，比较两组患者重残率、病死率及KPS功能状态评分。结果 观察组重残率及病死率（17.86%）低于对照组（42.86%），出院3个月后的KPS功能状态评分高于对照组，两组差异有统计学意义（P<0.05）。结论 在颅脑损伤患者的临床治疗中，持续有创颅内压监测起到了积极作用，有助于降低患者的重残率、病死率，并改善预后。 |
| 英文摘要: |
| Objective To investigate the clinical value of invasive intracranial pressure continuous monitoring in postoperative craniocerebral injury. Methods Fifty-six cases of patients with craniocerebral injury from Oct 2015 to Aug 2017 in this hospital were selected and divided into observation group and control group randomly (28 cases in each). The observation group was applied Codman monitoring and the control group received traditional method. Then the rate of severe disability/mortality and Karnofsky (KPS) functional status score were explored in two groups. Results The rates of severe disability and mortality were significantly lower in observation group(17.86%) than in control group(42.86%), and the KPS functional status score was significantly higher in observation group than in control group after three months, and the difference was statistically significant (P<0.05). Conclusion The continuous invasive intracranial pressure monitoring plays an active role in clinical treatment, helping to reduce the rate of severe disability and mortality and improve prognosis. |
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