Application of intracranial pressure monitoring in treatment of moderate hypertensive intracerebral hemorrhage

WANG Jia; YUAN Peng; HU Xi; ZOU Shengwei; DENG Yongbing

Abstract：Objective The application value of intracranial pressure monitoring (ICP) in selection of operative methods and post-operative dehydration treatment of patients with moderate hypertensive intracerebral hemorrhage were studied.Methods Sixty-four patients with moderate hypertensive intracerebral hemorrhage were selected randomly and then were divided into intracranial pressure monitoring group (n=33) and control group (n =31).The method of operation was chosen according to clinical manifestation and CT of patients in both two groups,however,ICP value of patients in intracranial pressure monitoring group was another important factor which needed to be concerned.In addition,dehydrating agents were used according to ICP value and the result of CT of patients in intracranial pressure monitoring group,but those were used according to clinical experience of doctors and the result of CT of patients in control group.Finally,the operative methods,post-operative complications and prognosis were compared between two groups.Results The rates of decompressive craniectomy,re-operation,renal damage and internal environment disturbance in intracranial pressure monitoring group were significantly lower than those in the control group (P ＜ 0.05).Six months after intracerebral hemorrhage,GOS was used to assess the prognosis of patients and we found GOS in intracranial pressure monitoring group was markedly higher than that in the control group (P ＜ 0.05).Conclusion Intracranial pressure monitoring plays an important guiding role in selection of operative methods of patients with moderate hypertensive intracerebral hemorrhage and it reduces the occurrence of post-operative complications,which are helpful for prognosis of patients with intracerebral hemorrhage.