Analysis on the early-warning function of noninvasive intracranial pressure monitor in the treatment of severe craniocerebral injury

Objective To analyze the early-warning function of noninvasive intracranial pressure monitor in the treatment of severe craniocerebral injury. Methods Sixty patients with severe craniocerebral injury were studied. The intracranial pressure was continuously monitored and recorded with noninvasive intracranial pressure monitor in the case of setting the warning value of intracranial pressure, and operation was carried out at appropriate time. The changes of intracranial pressure were paid close attention to and proper intervention was given, and the results of early warning of intracranial pressure were compared with the results of CT review and GCS score, and the prognosis of the patients was evaluated by the Glasgow Outcome Scale (GOS). Results On admission, the intracranial pressure of all patients were within the normal range. 2 h after admission, the intracranial pressure increased, and the increasing amplitude was larger than 20 mmH2O(1 mmH2O=0.0098 kPa) in 46 cases. CT examination showed that delayed hematoma contusion increased to different degrees, and increased intracranial pressure matched with intracranial lesions and changes of GCS scores. There was significant correlation of results of early warning of intracranial pressure with prognosis. The higher intracranial pressure was, the lower excellent and good rate of recovery and incidence rate of mild disability were, and the higher plant survival rate and mortality rate were. Conclusions The early-warning function of noninvasive intracranial pressure monitor is significant in the condition changes of severe craniocerebral injury, guidance of treatment and prognosis. Key words: Noninvasive intracranial pressure monitor; Severe craniocerebral injury; Early-warning