Abstract

The present study evaluated the roles of intracranial pressure (ICP) and cerebral perfusion pressure (CPP) in preventive nursing care of severe traumatic brain injury (STBI).Totally 100 STBI patients with 3 to 8 Glasgow Coma Score (GCS) score at admission were enrolled in this study, and they were randomly divided into monitoring group (n=50) and control group (n=50). STBI patients were nursed with conventional monitoring in the control group, and STBI patients were nursed with combination of conventional monitoring and ICP and CPP monitoring in the monitoring group, and early treatment and nursing intervention were given according to the monitoring results. Compared with the control group, there was a lower incidence of complications and better curative effects in the monitoring group. The proportion of patients with good curative effects in the monitoring and control group was 64 and 40%, and their mortality rates were 12 and 24%, respectively. Dynamic monitoring of ICP and CPP in the early stage of STBI is conducive to judge the changes of pathogenetic condition and give optimal treatment and early nursing intervention, so it’s an effective measure to reduce disability and mortality rates.

Key words: Severe craniocerebral injury, intracranial pressure and cerebral perfusion pressure, monitoring, preventive nursing care.