title: [Prognostic correlation of intracranial pressure monitoring in patients with severe craniocerebral injury].
abstract: OBJECTIVE
  To explore the clinical application of intracranial pressure (ICP) monitoring and its prognostic correlation in patients with severe craniocerebral injury.
  
  
  METHODS
  A total of 216 severe craniocerebral injury patients with scores of Glasgow coma scale 3-8 underwent craniotomy at Affiliated Qilu Hospital, Shandong University.And 168 cases of ICP monitoring were divided into 3 treatment groups and another 48 cases without ICP monitoring selected as the control group.According to ICP, stepwise treatment was administered to control the level of ICP and maintain the cerebral perfusion pressure to analyze the relationship between ICP monitoring and prognosis.
  
  
  RESULTS
  As compared with the control group, there were significant decreases of disability and mortality rate for patients with ICP monitoring (A, B, C group). Especially group C had a better prognosis than the other groups for statistical significance.In addition, the dose and duration of mannitol of group A, B or C were significantly lower than those of the control group (P < 0.05).
  
  
  CONCLUSIONS
  The application of ICP monitoring is capable of reducing mortality, improving prognosis and enhancing success rate of treating severe craniocerebral injury.
authors.affiliation: Department of Neurosurgery, Affiliated Qilu Hospital, Shandong University, Ji'nan 250012, China.
authors.forename: Qi-bing
authors.initials: QB
authors.lastname: Huang
authors.forename: Yuan
authors.initials: Y
authors.lastname: Zhang
authors.forename: Yu-hang
authors.initials: YH
authors.lastname: Su
authors.forename: Ze-li
authors.initials: ZL
authors.lastname: Zhang
authors.forename: Guang-hui
authors.initials: GH
authors.lastname: Wang
authors.forename: Xin-gang
authors.initials: XG
authors.lastname: Li
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D007427:Intracranial Pressure; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D011379:Prognosis; D055815:Young Adult