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    尿流量与膀胱温监测变量在颅脑外伤临床诊疗中应用研究

    Diagnostic value of urinary flow and bladder temperature monitoring variables in patients with craniocerebral trauma

    • 摘要: 目的:探究尿流量与膀胱温检测变量对颅脑外伤患者的临床诊疗价值,为颅脑外伤患者体温的科学监测提供参考依据。方法:选取2016年1月至2017年1月在本院神经外科ICU治疗的颅脑外伤患者共80例,根据治疗方案分为研究组和对照组,各40例,研究组给予复方甘露醇治疗,对照组给予普通补液,比较两组患者颅内压及平均动脉压变化情况,按照实验设计分别检测两组尿流量、膀胱温、直肠温,并分析不同尿流量与膀胱温、直肠温之间相关性及一致性。结果:研究组颅内压降低幅度(17.24±3.15)mmHg显著高于对照组颅内压降低幅度(5.14±1.64),差异有统计学意义(P<0.05);研究组平均动脉压降低程度(31.43±5.36)mmHg显著高于对照组(2.45±0.81)mmHg,差异有统计学意义(P<0.05);研究组每小时尿流量(52.26±10.14)ml显著高于对照组每小时尿流量(23.15±6.26)ml,差异有统计学意义(P<0.05);两组患者直肠温均与膀胱温相当,差异无统计学意义(P>0.05),直肠温与腋温相比,差异有统计学意义(P<0.05);Pearson分析显示不同尿流量时,膀胱温均与直肠温呈正相关,差异有统计学意义(P<0.05);Bland-Altman分析显示膀胱温与直肠温的一致性较好,且不受尿流量的影响。结论:采用测温导尿管检测膀胱温度,不受尿流量影响,能较好反应颅脑外伤患者体温和病情,有较高的临床诊断价值,值得临床大力推广。

       

      Abstract: Objective: To explore the clinical value of urine flow and bladder temperature detection in patients with craniocerebral trauma, and to provide reference for the scientific monitoring of body temperature in patients with craniocerebral trauma. Methods: A total of 80 patients with craniocerebral trauma treated with neurosurgery ICU from January 20 to January 2017 were divided into study group and control group according to the treatment regimen. Forty patients were treated with compound mannitol , The control group given the general rehydration, compared the two groups of patients with intracranial pressure and mean arterial pressure changes, according to the experimental design were detected in both groups of urine flow, bladder temperature, rectal temperature, and analysis of different urine flow and bladder temperature, rectal temperature Relevance and consistency. Results: The decrease of intracranial pressure (17.24±3.15)mmHg in the study group was significantly higher than that in the control group (5.14±1.64), the difference was statistically significant (P<0.05). The mean arterial pressure reduction (31.43±5.36)mmHg in the study group was significantly higher than that in the control group (2.45±0.81)mmHg, the difference was statistically significant (P<0.05).The urine flow in the study group was (52.26±10.14)ml, which was significantly higher than that in the control group (23.15±6.26)ml,the difference was statistically significant (P<0.05).There was no significant difference in rectal temperature between the two groups (P>0.05). The difference between the two groups was statistically significant (P<0.05). Pearson analysis showed that the urinary bladder (P<0.05). Bland-Altman analysis showed that bladder temperature was consistent with rectal temperature and was not affected by urinary flow. Conclusion: The temperature of the bladder is measured by the temperature measurement catheter, which is not affected by the urine flow. It can reflect the body temperature and the condition of the traumatic brain injury. It has a high clinical value and worthy of clinical promotion

       

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