The Effect Of Intracranial Pressure And Brain Temperature Monitoring On The Prognosis Of Patients After Intracerebral Hemorrhage

Objective: To investigate the effect of the position of different intracranial pressure monitoring probes and the control of brain temperature on the prognosis of patients with hypertensive intracerebral hemorrhage.Methods: 41 cases of hypertensive cerebral basal ganglia hemorrhage patients,according to the different monitoring positions of intracranial pressure probes,they were divided into three groups: A(ventricl),B(ebrain parenchyma),C(subdural),including A group,13 cases,B group 11 persons,C group 17 people.On the basis of conventional surgery,the intracranial pressure monitoring probes are placed in the ventricles of the brain,the brain parenchyma,or the subdural,respectively.At the same time,7 patients in each group were randomly selected to monitor the temperature of the brain.When the brain temperature was higher than 34,the corresponding treatment was given.According to the monitored intracranial pressure,dehydration treatment was performed.The dose and duration of mannitol used in the three groups were calculated,the operative time and length of stay in each group,the incidence of postoperative complications and the prognosis of the patients were compared,and the values were compared.Results:From the time of mannitol use and the average dose,the average dose of group A was less than that in group B,and the time of use was shorter than that of group B.The mannitol use time and the average dose of C group increased significantly compared with the two groups of A and B(P<0.05).The incidence of pulmonary infection in group C was also higher than that in the two groups of A and B,but there was no significant difference in the overall prognosis of the three groups.In terms of operation time,the operation time of group B was significantly longer than that of the other two groups,but there was no statistical significance.But there was no significant difference in operation time of A and C in two groups.Compared with the three groups of A,B and C,the time of hospitalization in group B was longer than that of the two groups of A and C.In terms of brain temperature control,there were no significant differences in the incidence and long-term prognosis by comparing A1,A2,B1,B2,C1 and C2.Conclusion: Intracranial pressure monitoring is necessary for patients with hypertensive basal ganglia hemorrhage after operation,and monitoring probes implanted into the ventricle is more advantageous than other parts,while the role of brain temperature control in such patients is not obvious.