Effect of continuous intracranial pressure monitoring combined with step-by-step therapy in elderly patients with acute massive cerebral infarction / 中风与神经疾病杂志

ABSTRACT

@#Objective　To elucidate the clinical effect of continuous intraventricular intracranial pressure monitoring combined with step-by-step treatment for elderly patients with acute massive cerebral infarction.Methods　Forty-six elderly patients with acute massive cerebral infarction were selected from November 2015 to October 2019.Patients according to the research requirements were randomly divided into two groups:ICP group(n=23) and control group (n=23),ICP group was given stepwise management guided by intraventricular ICP monitoring,control group was given routine drug treatment after admission,according to patients’ consciousness and the changes in pupil signs and head CT results adjusted the treatment plan.FIM scores were observed after 3 months and complications (including abnormal coagulation function,bedsore and pneumonia).Results　FIM scores of ICP group was (90.81±6.08),and FIM scores of control group was (76.56±7.82),the difference was statistically significant (P<0.05).The proportion of complications of ICP group was 17.4% (4/23),and that of control group was 78.3% (18/23),the difference was statistically significant (P<0.05).Conclusion　For elderly patients with acute massive cerebral infarction,intraventricular ICP monitoring with stepwise management is beneficial.Choosing appropriate treatment plan,reduced the occurrence of complications and improved the brain function of patients.