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目的:探讨临床治疗双额叶脑挫裂伤患者行持续颅内监测的重要价值。方法:选择2016年1月-2017年6月笔者所在医院所收治的46例双额叶脑挫裂伤患者为试验组,自入院后均行持续颅内压监测。另选46例患者为对照组,按照2 h每次进行颅内压测定。对比两组患者不同颅内压水平状态下的各种临床治疗效果。结果:患者颅内压越高,相应的不良预后情况越多。试验组患者不良预后31例(67.39%),显著优于对照组(不良预后36例,78.26%),差异有统计学意义(X~2=3.157,P=0.037)。试验组并发症13例,优于对照组的23例,差异有统计学意义(X~2=8.273,P=0.015)。结论:在双额叶脑挫裂伤患者临床治疗过程中,做好持续颅内压监测,可以有效地预测患者病情发展情况,有助于为患者的预后及临床干预措施制定提供参考。
Objective: To investigate the value of continuous intracranial monitoring in the treatment of double frontal lobe contusion and laceration. Methods: From January 2016 to June 2017, 46 patients with double-frontal lobe contusion and laceration treated in our hospital were selected as the experimental group, and continuous intracranial pressure monitoring was performed after admission. Another 46 patients as control group, according to 2 h each time intracranial pressure measurement. The clinical effects of different levels of intracranial pressure were compared between two groups. Results: Patients with higher intracranial pressure, the corresponding more adverse prognosis. There were 31 patients (67.39%) with poor prognosis in the experimental group, which was significantly better than that in the control group (36 patients with poor prognosis, 78.26%), the difference was statistically significant (X ~ 2 = 3.157, P = 0.037). The complications of the experimental group were 13 cases, which was better than that of the control group (23 cases), the difference was statistically significant (X ~ 2 = 8.273, P = 0.015). CONCLUSION: Continuous intracranial pressure monitoring during the clinical treatment of patients with bilateral frontal lobe contusion and laceration can effectively predict the progression of the patient’s condition and help to provide a reference for the prognosis and clinical intervention.