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目的分析有创监测(IBP)、无创监测(NBP)血压测量对颅内出血重症患者血压水平、组织灌注及抢救成功率的影响。方法选本院收治高血压颅内出血患者252例为研究对象,依抢救是否采取持续颅内压监测分为研究组126例和对照组126例,研究组依照血压监测方法分为IBP组66例和NBP组60例,分析3组患者颅内压波动、抢救成功率及并发症情况。结果患者入院时颅内压升高,经过治疗颅内压逐渐下降,两种检测技术对颅内压监测水平差异不明显(P>0.05)。研究组抢救成功率显著高于对照组(P>0.05),IBP组和NBP组患者抢救成功率无明显差异(P>0.05)。经过治疗,患者神经功能缺损评分显著降低(P<0.05),3组患者神经功能缺损情况差异不明显(P>0.05),IBP组和NBP组甘露醇用量均显著低于对照组(P<0.05),IBP组和NBP组电解质紊乱、肾功能损害发生率显著低于对照组(P<0.05)。结论高血压脑出血抢救中采用持续颅内压监测对病情变化监测有重要价值,能为抢救提供必要信息支持。
Objective To analyze the influence of invasive blood pressure monitoring (IBP) and noninvasive monitoring (NBP) blood pressure measurement on the blood pressure level, tissue perfusion and rescue success rate in patients with severe intracranial hemorrhage. Methods A total of 252 patients with intracranial hemorrhage in our hospital were enrolled in this study. 126 patients in the study group and 126 in the control group were enrolled in the study. According to the blood pressure monitoring method, the study group was divided into IBP group (66 cases) and control group NBP group 60 cases, analysis of three groups of patients with intracranial pressure fluctuations, the success rate of rescue and complications. Results Intracranial pressure increased, and the intracranial pressure gradually decreased after treatment. There was no significant difference between the two methods in monitoring intracranial pressure (P> 0.05). The rescue success rate of the study group was significantly higher than that of the control group (P> 0.05). There was no significant difference in the rescue success rate between the IBP group and the NBP group (P> 0.05). After treatment, the score of neurological deficit in patients was significantly lower (P <0.05), the difference of neurological deficit was not significant in the three groups (P> 0.05), and the dosage of mannitol in IBP group and NBP group was significantly lower than that of the control group ), IBP group and NBP group electrolyte imbalance, the incidence of renal dysfunction was significantly lower than the control group (P <0.05). Conclusions Continuous intracranial pressure monitoring during the rescue of hypertensive intracerebral hemorrhage has important value in monitoring the change of the disease, and can provide necessary information support for the rescue.