| Objective: To investigate the value of continuous subdural intracranial pressure monitoring in the treatment of post-operative supratentorial hypertensive intracerebral hemorrhage.Methods: There are 112 patients who were given to Surgical treatment because of supratentorial hypertensive intracerebral hemorrhage were retrospectively analyzed.They all received surgical treatment in Dalian central hospital from December 2015 to December 2018.They were divided into monitoring group and control group according to whether or not intracranial pressure monitoring was used.Their clinical data contained mannitol dosage,acute kidney injury,electrolyte disturbance,intracranial infection,cerebrospinal fluid leakage,lung infection,stress ulcer,Glasgow Outcome Scale(GOS).The clinical data of the two groups were compared and analyzed by SPSS20.0 software package to show the value of continuous subdural intracranial pressure monitoring.Results: Mannitol dosage,acute kidney injury,electrolyte disturbance in the monitoring group were less than those in the control group(P<0.05).The GOS of monitoring group was better than the control group(P<0.05).There were no significant defference,including intracranial infection,cerebrospinal fluid leakage and lung infection,stress ulcer,bewteen the monitoring group and the control group(P>0.05).Conclusion: Continuous monitoring of subdural intracranial pressure can detect the change of intracranial pressure in patients with supratentorial hypertensive intracerebral hemorrhage in the early stage,and help us to adjust the treatment plan in time to achieve individual and accurate treatment of each patient.It makes up for the shortcomings of traditional clinical experience in treatment of lag,and improves the prognosis of the patients.It provides a new way and objective basis for clinical doctors to judge the condition of acute and severe neurosurgery patients,and has great clinical application value. |
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