The clinical value of intracranial pressure monitoring in patients with severe hypertensive cerebral hemorrhage
10.3760/cma.j.issn.1008-6706.2013.13.025
- VernacularTitle:颅内压监测在高血压脑出血脱水治疗中的作用
- Author:
Qin SONG
- Publication Type:Journal Article
- Keywords:
Intracranial hemorrhage;
hypertensive;
Intracranial pressure;
Mannitol;
Furosemide;
Treatment outcome
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(13):1980-1981
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of invasive intracranial pressure(ICP) for monitoring the severe hypertensive intracerebral hemorrhage.Methods A retrospective study of 79 patients with severe hypertensive intracerebral hemorrhage was performed.A total of 39 severe hypertensive intracerebral hemorrhage patients were underwent ICP,then the treatment plan would be adjusted according to the level of intracranial pressure changes.40 patients in the control group were not given intracranial pressure monitoring,according to the patients'consciousness,vital signs,and CT examination,they were given routine treatment.Results After 3 months,39 patients in monitoring group,good in 10 cases,10 cases of mild disability,severe disability in 11 cases,three cases of vegetative state,and 5 cases died.40 patients in control group,good in,7 cases,7 cases of mild disability,11 cases of severe disability,5 cases of vegetative state,10 cases died.The efficacy of the monitoring group was significantly better than the control group,the incidence rate of complication of the monitoring group was significantly lower than the control group,the differences were statistically significant(P ＜ 0.05).Conclusion The present findings suggest that ICP monitoring may reduce complications and improve prognosis of patients with severe hypertensive cerebral hemorrhage.
