Influence of intracranial pressure monitoring on GCS score,complications and prognosis of severe traumatic brain injury patients with trauma craniectomy
10.7619/jcmp.201711022
- VernacularTitle:颅内压监测对重度颅脑外伤行开颅血肿清除术患者GCS评分、并发症及预后的影响
- Author:
Huibing LI
1
;
Qianxue CHEN
Author Information
1. 武汉大学人民医院 神经外科
- Keywords:
intracranial pressure monitoring;
traumatic brain injury;
severe;
complications;
prognosis
- From:
Journal of Clinical Medicine in Practice
2017;21(11):73-76
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influence of intracranial pressure monitoring on GCS score,complications and prognosis of severe traumatic brain injury patients with trauma craniectomy.Methods A total of 84 patients with STBI were randomly divided into two groups.The routine group was treated with standard large trauma craniectomy,and monitoring group was treated with trauma craniectomy combined with intracranial pressure monitoring.The change of intra-carnial pressure before and after operation,GCS scores change,prognosis as well as post operative complications were compared between two groups.Results Compared with routine group,the intra-carnial pressure at 3rd and 7th day after operation in monitoring group significantly decreased (P<0.05),and the GCS score at 28th day improved after operation in both groups,and increasing degree of monitoring group was significantly higher than the routine group (P<0.05).The GCS score at 3rd month after operation indicated that the prognosis in monitoring group was significantly better than routine group (P<0.05).The incidence rates of electrolyte disturbance in monitoring group and routine group at 6 month after surgery were 59.5% and 33.3% respectively (P<0.05).Conclusion Standard trauma craniectomy combined with intracranial pressure monitoring treatment is effective in treatment of patients with severe traumatic brain injury.
