The Clinical Application Value's Evaluation Of Intracranial Pressure Monitoring In Patients With Moderate And Severe Traumatic Brain Injury

Background:Traumatic brain injury(TBI)refers to the intracranial lesion caused by direct or indirect effects of violence in the head?The incidence of TBI in all kinds of trauma is in the first place.Increased intracranial pressure,as the most common complication of TBI,is an important indicator of the severity of the injury,especially the intracranial hypertension caused by intracranial hemorrhage,cerebral contusion and laceration,cerebral edema in acute and severe craniocerebral injury is the major factor which has a significant correlation with a sharp deterioration in the patient's condition,poor prognosis and death.Therefore,in the diagnosis and treatment of TBI patients,ICP changes have always been the focus of neurosurgeons.Since 1960,Lundberg et al began to apply intracranial pressure monitoring to clinical practice,it has a history more than half a century,and its application is more and more extensive.However,despite the fact that ICP monitoring has been widely approved by domestic and foreign scholars and applied to clinical treatment,there still have some researches provide the results opposite to the conclusion.Therefore,more comprehensive and accurate retrospective analysis and more rigorous clinical trials are needed to clarify the role and significance of intracranial pressure monitoring in the treatment of moderate to severe TBI patients,thus providing a positive role in clinical treatment.Objective: To evaluate the clinical application value of intracranial pressure monitoring applied to patients with moderate and severe traumatic brain injury.Method: From July 2015 to September 2016,a total of 105 patients with moderate to severe traumatic brain injury in our hospital were enrolled in this analysis.All patients were divided into two groups randomly,54 cases in the observation group and51 cases in the control group.The observation group patients were treated withintracranial pressure monitoring on the foundation of common therapeutic measures while cases in the control group were just treated with routine therapy.At last,the process of remedy and the prognosis were compared between two groups.Results: The in-hospital mortality in the observation is lower than the control group modestly,but the dosage and time of mannitol and the related complication rate in the observation group were much better than the control group(P<0.01).And as follow up after 6 months,the result of prognosis revealed that the observation group were also better than the control group(P<0.05).Conclusion: The implementation of invasive intracranial pressure monitoring in patients with moderate to severe traumatic brain injury can reflect the changes of the patients' condition timely,accurately and objectively,provide early warming of the intracranial hypertension caused by disease progression,strive for valuable treatment time,thus helping neurosurgeons decide targeted interventions for different patients individually,avoiding the blindness of treatment effectively,reducing the incidence of related complications,and improving the prognosis of patients significantly.Therefore,in general,the implementation of ICP monitoring in patients with moderate to severe TBI has far more advantages than the disadvantages and has an important guiding significance in clinical diagnosis and treatment.Therefore,it is worth promoting.