【摘要】 目的 观察有创颅内压（ICP）监测应用于危重症脑损伤术后中的效果与护理。方法 选取2017年2月—2021年2月新兴县人民医院收治的96例危重症脑损伤术后患者为研究对象，按随机数字表法分为2组，各48例，对照组术后因特殊因素未行有创ICP监测，仅行常规护理与观察；观察组术后进行有创ICP监测。对比2组脱水剂用量、脑疝形成率、预后。结果 观察组甘露醇平均用量为（846.57±36.84）g，少于对照组的（932.68±38.72）g，脑疝形成率为6.25%(3/48)，低于对照组的20.83%(10/48)，格拉斯哥预后评分（GCS）优良率为87.50%(42/48)，高于对照组的68.75%(33/48)，差异均有统计学意义（P<0.05）。结论 通过对危重症脑损伤术后患者进行有创ICP监测，能够根据ICP变化情况有效指导临床对治疗方法与护理方案进行及时调整，从而减少脱水剂用量，降低脑疝形成率，改善患者预后，值得推广。更多还原

【Abstract】 Objective To observe the effects and nursing care of invasive intracranial pressure(ICP)monitoring applied to postoperative critically ill brain injury. Methods A total of 96 critically ill postoperative patients with brain injury admitted to our hospital from February 2017 to February 2021 were selected as the research objects.They were divided into two groups according to the random number table method,with 48 cases in each group.The control group did not undergo invasive ICP monitoring due to special factors after surgery,and only received routine care and observation.The observation group received invasive ICP monitoring after surgery.The amount of dehydrating agent,herniation rate and prognosis were compared between the two groups. Results The average dosage of mannitol in the observation group was(846.57±36.84)g,which was less than(932.68 ±38.72)g in the control group. The herniation rate was 6.25%(3/48),which was lower than 20.83%(10/48),the excellent and good rate of Glasgow score(GCS)was 87.50%(42/48),which was higher than 68.75%(33/48)of the control group,and the difference was statistically significant(P<0.05).Conclusion Through invasive ICP monitoring in patients with critically ill brain injury after surgery,it can effectively guide the clinic to make timely adjustments to treatment methods and nursing plans according to the changes in the patient’s ICP,thereby reducing the amount of dehydrating agent,reducing the rate of brain herniation,and improving the prognosis of patients,It is worth promoting and applying.更多还原