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Chinese Journal of Neurotraumatic Surgery(Electronic Edition) ›› 2018, Vol. 04 ›› Issue (04): 209-212. doi: 10.3877/cma.j.issn.2095-9141.2018.04.005

Special Issue:

• Clinical Research • Previous Articles     Next Articles

Clinical analysis of intracranial pressure monitoring combined with sedation and analgesia in treating hypertensive intracerebral hemorrhage broken into ventricles

Xiaogang Wu1, Jinbiao Wang1, Shaonian Xu1, Jie Yuan1, Yongming Zhang1,()   

  1. 1. Department of Neurosurgery, The No.105 Hospital of PLA, Hefei 230031, China
  • Received:2018-03-11 Online:2018-08-15 Published:2018-08-15
  • Contact: Yongming Zhang
  • About author:
    Corresponding author: Zhang Yongming, Email:

Abstract:

Objective

To evaluate clinical analysis of intracranial pressure monitoring combined with sedation and analgesia in treating hypertensive intracerebral hemorrhage broken into ventricles.

Methods

Retrospective analysis of 169 patients diagnosed as hypertensive intracerebral hemorrhage into the ventricles of the brain, assigned to Monitoring and treatment group (n=57), treatment group (n=69) and control group (n=43) according to clinical practice. All patients was performed the external brain drainage, while the monitoring and treatment group were monitored by dynamic intracerebral intracranial pressure monitoring with sedative and analgesia. And the treatment group was treated with sedative and analgesia. Nerve function defect degree, GCS score, GOS score, time of NICU hospitalization and etc. were compared in each group after 6 months of follow-up.

Results

Neurological deficit score, GCS score, GOS score, NICU hospitalization time, and treatment group were significantly better than that of the treatment group and the control group (P<0.05), and the amount of mannitol and the rate of impaired renal function and electrolyte disorders were reduced significantly (P<0.05).

Conclusion

Intracranial pressure monitoring, can accurately understand the changes of intracranial pressure in patients with hypertensive intracerebral hemorrhage broken into ventricles, avoiding overuse of dehydrating agent and improving the prognosis. While that combined sedation and analgesia treatment has more significant effect, which is suitable for clinical application.

Key words: Intracranial pressure monitoring, Sedation and analgesia, Cerebral hemorrhag

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