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| Application value of intracranial pressure monitoring in patients with acute severe craniocerebral injury |
| DING Jian1 SHENG Luoping2 |
1.Department of Neurosurgery, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai 201700, China;
2.Department of Neurosurgery, Zhujiajue People's Hospital, Shanghai 201700, China |
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Abstract Objective To explore the application value of intracranial pressure monitoring(IPM) in patients with acute severe craniocerebral injury (ASCI). Methods From June 2015 to October 2016, 96 patients with ASCI admitted to Department of Neurosurgery of Qingpu Branch Hospital of Zhongshan Hospital Affiliated to Fudan University were selected, and divided into study group and control group by random number table, with 48cases in each group. The control group was given routine clinical treatment, the study group was given IPM on the basis of routine treatment in the control group, and targeted treatment according to the patient's monitoring results. Follow-up was conducted for 6 months, the conditions of prognosis, use time of mannitol, dosage of mannitol and hospital stay, postoperative complications between two groups were compared. Results The conditions of prognosis in the study group was better than control group, the difference was statistically significant (P < 0.05). The use time of mannitol and hospital stay in the study group were shorter than those of control group (P < 0.05), the dosage of mannitol was lower than control group (P < 0.05). The upper digestive tract hemorrhage, electrolyte disorders and renal damage rate in the study group were lower than those of control group, the difference were statistically significant (P < 0.05). Conclusion IPM should be effective in the treatment of patients with ASCI, which can effectively reduce the use time and dosage of mannitol, shorten the length of hospital stay and reduce the incidence of postoperative complications. The safety is better, and it is worthy of clinical application.
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