微创治疗幕上脑出血术中、术后持续颅内压监测的临床研究

doi:10. 3969 / j. issn. 2096-2266. 2021. 02. 013

大理大学学报 ›› 2021, Vol. 6 ›› Issue (2): 63-66.DOI: 10. 3969 / j. issn. 2096-2266. 2021. 02. 013

微创治疗幕上脑出血术中、术后持续颅内压监测的临床研究

吴泽宇1，2，孙杰2，刘兴海2，欧阳超2，苏平2，高鸿2*

（1.南充市中心医院疼痛科，四川南充637000；2.昆明医科大学附属甘美医院神经外科，昆明650011）

收稿日期:2020-05-12 修回日期:2020-06-02 出版日期:2021-02-15 发布日期:2021-03-17
通讯作者: 高鸿，主任医师，E-mail：gaohong@126.com。
作者简介:吴泽宇，住院医师，主要从事神经外科研究。
基金资助:
昆明市科技计划项目（2019-1-S-25318000001637）

Clinical Study on Continuous Intracranial Pressure Monitoring during and after Minimally Invasive#br# Surgery for Supratentorial Intracerebral Hemorrhage

Wu Zeyu1, 2, Sun Jie2, Liu Xinghai2, Ouyang Chao2, Su Ping2, Gao Hong2*

（1. Department of Pain Treatment, Nanchong Central Hospital, Nanchong, Sichuan 637000, China; 2. Department of Neurosurgery,
Ganmei Hospital, Kunming Medical University, Kunming 650011, China）

Received:2020-05-12 Revised:2020-06-02 Online:2021-02-15 Published:2021-03-17

摘要/Abstract

摘要： 目的：探讨高血压幕上脑出血在微创治疗中使用有创颅内压监测的临床应用价值。方法：选取昆明医科大学附属甘美
医院2017年6月至2019年6月收治的高血压幕上脑出血且接受微创治疗的患者68例，使用随机数字表法分为颅内压监测组
及对照组，各34例，颅内压监测组术中、术后持续监测颅内压，对照组术后采用常规监护，比较两组患者病例资料。结果：颅内
压监测组术中血肿抽吸量、术后使用甘露醇量、复查CT次数较对照组少；颅内压监测组住院时间、住神经外科重症监护室时间
较对照组短；颅内压监测组出院3月后格拉斯哥预后评分预后不良率较对照组低，差异均具有统计学意义（P＜0.05）。结论：
术中、术后持续使用颅内压监测能实时掌握颅内压变化情况，减少复查CT频率，减少住院天数及降低短期预后不良率，值得在
临床中推广和应用。

关键词: 幕上, 脑出血, 微创治疗, 颅内压监测

Abstract: Objective: To explore the clinical value of intracranial pressure monitoring in minimally invasive treatment of high blood
pressure supratentorial intracerebral hemorrhage. Methods: A total of 68 patients with hypertensive supratentorial cerebral
hemorrhage who received minimally invasive treatment from June 2017 to June 2019 in the Ganmei Hospital of Kunming Medical
University were selected and randomly divided into monitoring group and control group with 34 cases each. Continuous intracranial
pressure monitoring was performed during and after the operation in the monitoring group, and the control group was subjected to
routine monitoring after operation. The case data of the two groups were compared. Results: The volume of intraoperative hematoma
aspiration, postoperative mannitol use and the number of CT reexamination in the monitoring group were less than those in the control
group; the length of stay and the length of stay of neurosurgery intensive care unit in the monitoring group was shorter than that in the
control group; the bad prognosis rate of Glasgow Outcome Scale in the monitoring group was lower than that in the control group at 3
months after discharge, and all the differences were statistically significant（P < 0.05）. Conclusion: Continuous intracranial pressure
monitoring during and after operation can grasp the change of intracranial pressure in real time, reduce the frequency of reexamination
of CT, reduce the number of days of hospitalization and short-term poor prognosis, which is worthy of clinic popularization and
application.

Key words: supratentorial, intracerebral hemorrhage, minimally invasive treatment, intracranial pressure monitoring

中图分类号:

R651.1

吴泽宇, 孙杰, 刘兴海, 欧阳超, 苏平, 高鸿. 微创治疗幕上脑出血术中、术后持续颅内压监测的临床研究[J]. 大理大学学报, 2021, 6(2): 63-66.

Wu Zeyu, Sun Jie, Liu Xinghai, Ouyang Chao, Su Ping, Gao Hong. Clinical Study on Continuous Intracranial Pressure Monitoring during and after Minimally Invasive#br# Surgery for Supratentorial Intracerebral Hemorrhage[J]. Journal of Dali University, 2021, 6(2): 63-66.

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微创治疗幕上脑出血术中、术后持续颅内压监测的临床研究

Clinical Study on Continuous Intracranial Pressure Monitoring during and after Minimally Invasive#br# Surgery for Supratentorial Intracerebral Hemorrhage

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