Application value of dynamic monitor in patients with hemorrhagic stroke
Hu Xiao
Zhou Yang
Cai Li
Liu Kunming
Li Chen
Abstract：Objective To investigate the value of non-invasive cerebral edema dynamic monitor in patients with hemorrhagic stroke.Methods Based on the inclusion and exclusion criteria,60 patients with haemorrhagic stroke treated in Tongren People's Hospital from May 2021 to February 2022 were selected as the study subjects,and the patients were divided into a control group and an observation group according to single and double numbers,with 30 cases in each group.The control group was treated conventionally according to experience,while the observation group was monitored using an oedema dynamic monitor.The average daily dose and number of days of mannitol,rebleeding,complications and treatment efficiency were compared between the two groups.Results The average daily doses and days of mannitol in the observation group were significantly less than those in the control group[(362.7±117.7)ml vs.(283.3±93.5)ml,(14.5±5.3)d vs.(11.6±4.6)d](t=2.896,2.263,P<0.05).In the observation group,1 case(3.33%)of rebleeding occurred,which was significantly lower than 10 cases(33.33%)in the control group(χ2=9.017,P<0.05).1 case(3.33%)of renal impairment,2 cases(6.67%)of electrolyte disturbance and 1 case(3.33%)of other complications occurred in the observation group,with an overall incidence of 13.33%significantly lower than that of 50.00%in the control group(χ2=9.320,P<0.05).3 months after discharge,the patients were returned to the hospital according to the GOS score rules,by rank sum test The result showed that the prognosis of the observation group was significantly better than that of the control group(Z= 2.252,P<0.05).Conclusion The non-invasive cerebral oedema dynamic monitor can sensitively observe changes in the condition of patients with haemorrhagic stroke,guide the use of dehydrating drugs,dynamically adjust the treatment plan,reduce complications and improve the efficacy.
Keywords：Oedema dynamic monitorHaemorrhagic strokeCerebral oedemaPerturbation factor
Publication Date：2023-12-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 630-633 )