摘要目的 探讨高血压脑出血患者脑室穿刺外引流速度与引流时程的关系.方法 将入选病例按引流速度和引流量分为A、B、C三组,通过持续颅内压监测观察患者引流速度与ICP值的变化,动态调整引流速度以满足符合病人病情的ICP值,记录引流量和ICP值.结果 剔除C组,B组ICP正常率高于A组(X 2=4.63,P＜0.05).两组SPO2差异无统计学意义(P＞0.05),而两组调整次数、引流时程、引流量、血压、CPP变化差异有统计学意义(均P＜0.05),B组优于A组.结论 ICP监测下调整脑室外引流速度,能有效维持理想的颅内压水平,降低脑灌注不当的风险,减少甘露醇用量,避免干预过度,缩短置管时程,降低置管风险,节省患者费用.

abstractsObjective To investigate the relationship between drainage velocity and drainage time in patients with hypertensive intracerebral hemorrhage.Methods The selected cases were divided into group A,group B,and group C.The changes of drainage velocity and ICP value were observed by continuous intracranial pressure monitoring.The drainage speed was dynamically adjusted to meet the ICP value of the patients' conditions.The drainage flow and the ICP value were recorded.Results Group C was excluded;the normal ICP rate was higher in group B than in group A (X2=4.63,P ＜ 0.05);there was no statistical difference in SPO2 (P ＞ 0.05),but were in the adjustment time,drainage duration,drainage volume,blood pressure,and CPP changes between the two groups (all P ＜ 0.05);group B was superior to group A.Conclusions The adjustment of external cerebral drainage velocity by intracranial pressure monitoring can maintain ideal intracranial pressure level,reduce the risk of improper cerebral perfusion and catheterization and mannitol usage,avoid excessive intervention,shorten catheterization time,and save the patients' cost.