摘要
目的探究颅内压(ICP)参数在闭合性颅脑创伤患者预后评估中的应用价值。方法脑外伤患者100例入组后均接受ICP监测,依据类型分为闭合性脑创伤组(n=48)、开放性脑创伤组(n=52),依据闭合性脑创伤患者预后分为预后良好组(n=17)、预后不良组(n=31)。比较各组ICP参数,分析闭合性颅脑创伤患者预后影响因素和ICP参数预测患者预后的价值。结果闭合性脑创伤组ICP、RAP、AMP较开放性脑创伤组明显高,CPP较开放性脑创伤组明显低(P<0.05)。ROC曲线分析提示ICP、CPP、RAP、AMP联合检测诊断闭合性脑创伤不良预后的敏感度为86.1%,曲线下面积为0.833。结论闭合性颅脑创伤患者颅内压明显高于开放性颅脑创伤者,ICP参数联合检测对闭合性颅脑创伤患者预后有较高预测价值。
Objective To explore the application value of ICP parameters in prognosis evaluation of patients with closed craniocerebral trauma.Methods 100 patients with traumatic brain injury receiving ICP monitoring were divided into closed traumatic brain injury group(n=48)and open traumatic brain injury group(n=52),and were divided into good prognosis group(n=17)and poor prognosis group(n=31).ICP parameters of different groups were compared.The prognostic factors of patients with closed traumatic brain injury,and the prognostic value of ICP parameters were analyzed.Results Compared with the open brain injury group,ICP,RAP and AMP were higher,and CPP was lower in the closed brain injury group(P<0.05).The AUC and sensitivity of the combination of ICP,CPP,RAP and AMP for diagnosing adverse prognosis of closed brain injury were 86.1%and 0.833.Conclusion Patients with closed craniocerebral trauma have higher intracranial pressure than patients with open craniocerebral trauma.Combined detection of ICP parameters is of high value in the prognosis of patients with closed craniocerebral trauma.
作者
马鹏
冯森
李冬冬
王玉峰
MA Peng;FENG Sen;LI Dong-dong;WANG Yu-feng(Department of Neurosurgery,The Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453000,Henan Province,China)
出处
《罕少疾病杂志》
2024年第2期19-20,共2页
Journal of Rare and Uncommon Diseases
基金
2021年河南省教育厅本科高校虚拟仿真实验教学项目(175)。
关键词
闭合性颅脑创伤
ICP参数
预后
分析
Closed Craniocerebral Trauma
ICP Parameter
Prognosis
Analysis
作者简介
第一作者:马鹏,男,主治医师,主要研究方向:神经外科疾病。E-mail:mh292818@126.com;通讯作者:王玉峰,男,主任医师,主要研究方向:神经重症、功能神经外科。E-mail:mh292818@126.com。
