脑氧饱和度监测指导高血压脑出血患者术中管理的预后观察
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摘要
目的观察脑氧饱和度监测指导高血压脑出血患者术中管理的预后。方法收取2015年2月~2016年3月我院100例高血压脑出血患者,并将高血压脑出血患者随机分为两组,对照组患者实施传统管理,观察组实施脑血氧饱和度监测进行术中管理。结果观察组患者实施治疗后住院费用(5425.11±123.05)元、住院天数(12.45±1.65)d、ICU住院天数(6.02±1.02)d、术后并发症发生率8.00%优于对照组患者(P<0.05),观察组高血压脑出血患者COS预后评分(4.01±0.26)分高于对照组患者(P<0.05)。结论通过在高血压脑出血患者术中管理中实施脑氧饱和度监测具有显著效果。
Objective To observe prognosis of cerebral oxygen saturation monitoring in guiding operative management for patients with hypertensive cerebral hemorrhage. Methods 100 patients with hypertensive cerebral hemorrhage who were admitted to our hospital from February 2015 to March 2016 were selected and they were randomly divided into two groups. Patients in the control group were given traditional management while patients in the observation group were given operative management by cerebral oxygen saturation monitoring. Results Hospitalization cost, hospitalization days, ICU hospitalization days and postoperative complication rate after treatment of patients in the observation group were(5425.11±123.05) yuan,(12.45±1.65)days,(6.02±1.02)days and 8.00% respectively, superior to those of the control group(P < 0.05). COS prognosis score of patients with hypertensive cerebral hemorrhage in the observation group was higher than that in the control group(P < 0.05). Conclusion The implementation of cerebral oxygen saturation monitoring operative management for patients with hypertensive cerebral hemorrhage has a significant effect.
Objective To observe prognosis of cerebral oxygen saturation monitoring in guiding operative management for patients with hypertensive cerebral hemorrhage. Methods 100 patients with hypertensive cerebral hemorrhage who were admitted to our hospital from February 2015 to March 2016 were selected and they were randomly divided into two groups. Patients in the control group were given traditional management while patients in the observation group were given operative management by cerebral oxygen saturation monitoring. Results Hospitalization cost, hospitalization days, ICU hospitalization days and postoperative complication rate after treatment of patients in the observation group were(5425.11±123.05) yuan,(12.45±1.65)days,(6.02±1.02)days and 8.00% respectively, superior to those of the control group(P < 0.05). COS prognosis score of patients with hypertensive cerebral hemorrhage in the observation group was higher than that in the control group(P < 0.05). Conclusion The implementation of cerebral oxygen saturation monitoring operative management for patients with hypertensive cerebral hemorrhage has a significant effect.
引文
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[1]Wakisaka Y,Miller JD,Chu Y,et al.Oxidative stress through activation of NAD(P)H oxidase in hypertensive mice with spontaneous intracranial hemorrhage[J].Journal of Cerebral Blood European Official Journal of the Journal of Neurology Flow and Metabolism:Official Journal of the International Society of Cerebral Blood Flow and Metabolism,2012,28(6):1175-1185.
[5]李斌,符星,钟丽瑶,等.颅内压监测和化痰通腑醒脑法治疗高血压脑出血的临床疗效[J].实用医学杂志,2016,32(22):3785-3787.
[6]李想,陈新生.持续有创颅内压监测在高血压脑出血治疗中的应用[J].安徽医药,2013,17(5):825-827.
[7]陈茂君,李莉,崔文耀,等.两种血压管理方法在青年高血压脑出血患者中的应用效果[J].西南国防医药,2016,26(3):236-238.
[8]史忠岚,袁绍纪,李博,等.连续动态颅内压监测在脑出血治疗中的应用评价[J].中华神经外科疾病研究杂志,2014,13(3):252-254.
[9]Wu CH,Yang RL,Huang SY,et al.Analysis of thrombinantithrombin complex contents in plasma and hematoma fluid of hypertensive intracerebral hemorrhage patients after European journal of neurologyclot removal[J].European journal of neurology:the official journal of the European Federation of Neurological Societies,2012,18(8):1060-1066.
[11]王敏香,李凤宜,饶小梅,等.血氧饱和度监测在高血压脑出血病人呼吸道护理中的价值[J].现代医院,2016,2(12):58-59.
[12]张文德,张湘,邹志浩,等.高血压脑出血无创颅内压及脑灌注压监测临床研究[J].中华神经医学杂志,2012,11(2):182-185.
[13]胡子慧,李亮明,林少华,等.颅内压监测在幕上高血压脑出血患者治疗中的应用[J].实用医学杂志,2013,29(14):2364-2365.
[14]邹志浩,张世忠,张文德,等.无创颅内压监测在早期预警高血压脑出血后血肿扩大中的意义[J].中华神经外科杂志,2013,29(1):50-53.
[2]淡冰.高血压脑出血术后早期亚低温治疗的临床观察[J].现代医药卫生,2012,25(13):1953-1955.
[3]马骏,顾志伟,陈锷峰,等.脑组织氧代谢指标在继发性脑损伤中的研究进展[J].浙江医学,2016,38(13):1126-1128.
[4]关锋.不同浓度高渗盐水治疗高血压脑出血所致颅内高压的临床研究[D].贵阳:贵阳医学院,2012:35-40.
[1]Wakisaka Y,Miller JD,Chu Y,et al.Oxidative stress through activation of NAD(P)H oxidase in hypertensive mice with spontaneous intracranial hemorrhage[J].Journal of Cerebral Blood European Official Journal of the Journal of Neurology Flow and Metabolism:Official Journal of the International Society of Cerebral Blood Flow and Metabolism,2012,28(6):1175-1185.
[5]李斌,符星,钟丽瑶,等.颅内压监测和化痰通腑醒脑法治疗高血压脑出血的临床疗效[J].实用医学杂志,2016,32(22):3785-3787.
[6]李想,陈新生.持续有创颅内压监测在高血压脑出血治疗中的应用[J].安徽医药,2013,17(5):825-827.
[7]陈茂君,李莉,崔文耀,等.两种血压管理方法在青年高血压脑出血患者中的应用效果[J].西南国防医药,2016,26(3):236-238.
[8]史忠岚,袁绍纪,李博,等.连续动态颅内压监测在脑出血治疗中的应用评价[J].中华神经外科疾病研究杂志,2014,13(3):252-254.
[9]Wu CH,Yang RL,Huang SY,et al.Analysis of thrombinantithrombin complex contents in plasma and hematoma fluid of hypertensive intracerebral hemorrhage patients after European journal of neurologyclot removal[J].European journal of neurology:the official journal of the European Federation of Neurological Societies,2012,18(8):1060-1066.
[11]王敏香,李凤宜,饶小梅,等.血氧饱和度监测在高血压脑出血病人呼吸道护理中的价值[J].现代医院,2016,2(12):58-59.
[12]张文德,张湘,邹志浩,等.高血压脑出血无创颅内压及脑灌注压监测临床研究[J].中华神经医学杂志,2012,11(2):182-185.
[13]胡子慧,李亮明,林少华,等.颅内压监测在幕上高血压脑出血患者治疗中的应用[J].实用医学杂志,2013,29(14):2364-2365.
[14]邹志浩,张世忠,张文德,等.无创颅内压监测在早期预警高血压脑出血后血肿扩大中的意义[J].中华神经外科杂志,2013,29(1):50-53.