Effect of continuous intracranial pressure monitoring combined with step-by-step therapy in elderly patients with acute massive cerebral infarction
10.19845/j.cnki.zfysjjbzz.2020.0431
- VernacularTitle:老年急性大面积脑梗死患者持续颅内压监测联合阶梯式治疗的效果分析
- Author:
Guochang CHEN
1
;
Xiaofeng SHI
1
;
Yuntao LU
1
Author Information
1. Department of Neurosurgery，Longgang District Central Hospital of Shenzhen,Shenzhen 518016,China
- Publication Type:Journal Article
- Keywords:
Intraventricular ICP monitoring;
Stepwise management;
Elderly patients with acute massive cerebral infarction
- From:
Journal of Apoplexy and Nervous Diseases
2020;37(8):707-709
- CountryChina
- Language:Chinese
-
Abstract:
Objective To elucidate the clinical effect of continuous intraventricular intracranial pressure monitoring combined with step-by-step treatment for elderly patients with acute massive cerebral infarction.Methods Forty-six elderly patients with acute massive cerebral infarction were selected from November 2015 to October 2019.Patients according to the research requirements were randomly divided into two groups:ICP group(n=23) and control group (n=23),ICP group was given stepwise management guided by intraventricular ICP monitoring,control group was given routine drug treatment after admission,according to patients’ consciousness and the changes in pupil signs and head CT results adjusted the treatment plan.FIM scores were observed after 3 months and complications (including abnormal coagulation function,bedsore and pneumonia).Results FIM scores of ICP group was (90.81±6.08),and FIM scores of control group was (76.56±7.82),the difference was statistically significant (P<0.05).The proportion of complications of ICP group was 17.4% (4/23),and that of control group was 78.3% (18/23),the difference was statistically significant (P<0.05).Conclusion For elderly patients with acute massive cerebral infarction,intraventricular ICP monitoring with stepwise management is beneficial.Choosing appropriate treatment plan,reduced the occurrence of complications and improved the brain function of patients.
- Full text:2024080119471168292Effect of continuous intracranial pressure monitoring combined with step-by-step therapy in elderly patients with acute massive cerebral infarction.pdf
