RESUMO
Objective To explore the clinical value of early application of nimodipine combined with lumbar cistern drainage in the treatment of severe traumatic brain injury .Methods a total of 68 cases elderly patients with severe craniocerebral injury in our hospital from 2015 to 2017 were selected ,which were divided into control group and observation group according to random number table method .The control group was given routine medical treatment ,and the observation group was given nimodipine combined with lumbar cistern drainage on the basis of the control group .The Glasgow Coma Scale (GCS) score ,cerebral CT and blood flow velocity measurement of middle cerebral artery (MCA) were was performed ,and the recovery and prognosis were compared in the two groups .Results The GOS score and MCA blood flow velocity of the observation group at 7 ,14 and 21d after treatment were significantly higher than those in the control group(P＜0 .05);the decline rate of intracranial pressure in the observation group at 7 ,10 and 14d after treatment was significantly higher than that in the control group (P＜0 .05);the probability of infection in the observation group was significantly lower than that in the control group (P＜0 .05);the prognosis rate of the observation group was significantly better than that of the control group(P＜0 .01) .Conclusion Early use of nimodipine combined with lumbar continuous drainage in the treatment of severe traumatic brain injury can effectively improve the clearance rate of subarachnoid hemorrhage ,re-duce the occurrence of secondary brain injury ,avoid cerebral vasospasm ,and improve the prognosis of patients.
RESUMO
Objective To explore the basis of intracranial infection after craniocerebral operation with drainage combined with treatment in the application of vancomycin, meropenem and lumbar cistern on the use of psychological intervention clinical value. Methods 55 cases with intracranial infection craniocerebral injury patients were admitted to the Department of neurosurgery in Third Hospital of Jiaxing City in July 2012 to July 2017, the basic treatment in the application of drainage combined with vancomycin, meropenem and lumbar abroad, pay attention to the implementation of psychological nursing. Results The total effective rate of the group was 94.6%. Compared with before treatment, the number of WBC and protein in CSF decreased significantly, and the level of glucose increased significantly, with statistical difference (P<0.05). Compared with the intervention, the psychological status score improved obviously after intervention, with statistical difference (P<0.05). Conclusion The patients with craniocerebral injury complicated with intracranial infection after operation, basic drainage combined with treatment in application of meropenem and vancomycin, lumbar cistern on the use of psychological nursing, can improve the total clinical efficiency, improve psychological status.
RESUMO
Objective To explore the basis of intracranial infection after craniocerebral operation with drainage combined with treatment in the application of vancomycin, meropenem and lumbar cistern on the use of psychological intervention clinical value. Methods 55 cases with intracranial infection craniocerebral injury patients were admitted to the Department of neurosurgery in Third Hospital of Jiaxing City in July 2012 to July 2017, the basic treatment in the application of drainage combined with vancomycin, meropenem and lumbar abroad, pay attention to the implementation of psychological nursing. Results The total effective rate of the group was 94.6%. Compared with before treatment, the number of WBC and protein in CSF decreased significantly, and the level of glucose increased significantly, with statistical difference (P<0.05). Compared with the intervention, the psychological status score improved obviously after intervention, with statistical difference (P<0.05). Conclusion The patients with craniocerebral injury complicated with intracranial infection after operation, basic drainage combined with treatment in application of meropenem and vancomycin, lumbar cistern on the use of psychological nursing, can improve the total clinical efficiency, improve psychological status.