[1]王建群,张艺滨,李光海,等.改良CT计分结合持续颅内压监测在重型颅脑损伤去骨瓣减压术中的临床应用[J].临床神经外科杂志,2017,14(01):68-71.
 WANG Jian-qun,ZHANG Yi-bin,LI Guang-hai,et al.The clinical research on improved Rotterdam CT score combined with continuous monitoring of intracranial pressure in treating severe traumatic brain injury patients following decompression craniectomy[J].Journal of Clinical Neurosurgery,2017,14(01):68-71.
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改良CT计分结合持续颅内压监测在重型颅脑损伤去骨瓣减压术中的临床应用()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
14
期数:
2017年01期
页码:
68-71
栏目:
临床研究
出版日期:
2017-02-08

文章信息/Info

Title:
The clinical research on improved Rotterdam CT score combined with continuous monitoring of intracranial pressure in treating severe traumatic brain injury patients following decompression craniectomy
作者:
王建群张艺滨李光海陈良鑫郭木英林宽荣
362500泉州,德化县医院神经外科
Author(s):
WANG Jian-qunZHANG Yi-binLI Guang-haiet al.
Department of Neurosurgery,Dehua County Hospital,Quanzhou 362500,China
关键词:
改良CT计分颅内压监测重型颅脑创伤去骨瓣减压术
Keywords:
improved Rotterdam CT scoreICPsevere traumatic brain injurydecompressive craniectomy
分类号:
R651.1
文献标志码:
D
摘要:
目的:探讨改良Rotterdam CT计分(改良CT计分)结合持续颅内压(ICP)监测在重型颅脑创伤患者行单侧去骨瓣减压术中的应用价值。方法:回顾分析2015年1月~2016年1月期间收治的16例重型颅脑损伤去骨瓣减压术患者的临床资料;分析改良CT计分及持续ICP监测与术后6个月时格拉斯哥预后量表(Glasgow outcome scale,GOS)评分之间的关系。结果:本组患者中预后良好者(GOS 4~5分)7例,预后不良者(GOS 1~3分) 9例。两组不同预后患者在改良CT计分(术前)、ICP(初始,关颅,术后24 h)之间的差异均有统计学意义;评估去骨瓣减压术患者预后,改良CT计分可反映ICP水平,ICP优于改良CT计分,ICP与预后存在负相关。结论:改良CT计分和持续ICP监测在去骨瓣减压术患者中有助于及时发现问题,可指导治疗和评估预后,二者具有重要的临床应用价值。
Abstract:
Objective:To explore the value of improved Rotterdam CT score(improved CT score) and intraoperative continuous monitoring of intracranial pressure (ICP) in the treatment of patients with severe traumatic brain injury(sTBI)following unilater decompression craniectomy(DC).Methods:Sixteen sTBI patients,admitted to and underwent craniectomy in our hospital from January 2015 to January 2016,were select.The relationships among improved CT score,continuous monitoring of ICP and Glasgow Outcome Scale(GOS) after six months of injury were analyzed.Results:Through statistical analysis,such intraoperative improved CT score,the mean ICP of initial,the ICP of bone closed phase,the ICP of 24 hours after operation have statistically significant between good groups and poor groups.ICP is superior to CT score for assessing prognosis of sTBI patients.There is negative correlation between ICP level and prognosis after traumatic brain injury.Improved CT scores can reflect ICP level.Conclusion:Improved CT score and continuous ICP in the treatment of patients following unilater decompression craniectomy contributes to identify problems timely,guide treatment and assess prognosis,and play an important clinical value in treatment of sTBI patients.

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备注/Memo

备注/Memo:
泉州科技局科技项目(2015Z51);泉州卫生局科研资助项目[2014(267)-34]
更新日期/Last Update: 2017-02-15