中西医结合治疗急性重型颅脑损伤研究进展及颅内压监测现状

Research Progress on Integrated Traditional Chinese and Western Medicine in the Treatment of Acute Severe Traumatic Brain Injury and Current Status of Intracranial Pressure Monitoring

摘要: 急性重型颅脑损伤属于神经外科危重症，临床致残率与致死率均非常高，加强颅内压监测有助于临床及时识别继发性脑损伤，能够为临床制定治疗策略以及评估患者预后提供重要指导，对于提高救治成功率能够发挥至关重要的作用。当前，颅内压监测技术已经成为临床救治急性重型颅脑损伤的重要监测手段，极大地推动了颅脑损伤救治工作的标准化以及规范化。急性重型颅脑损伤病情危重，患者面临继发性脑损伤的风险较高，为了改善患者生存质量，促进其认知、运动以及言语能力恢复，必须为患者提供有效的治疗手段，中西医结合可发挥西医救命、中医康复副本的协同治疗作用，能够形成集急救、促醒、康复于一体的完整救治流程，有利于提高救治成功率并改善患者生存质量。本文针对急性重型颅脑损伤颅内压监测进展以及中西医结合治疗情况进行综述，以期为临床合理选择颅内压监测方法以及治疗手段提供指导。

Abstract: Acute severe traumatic brain injury is a critical condition in neurosurgery, with extremely high rates of disability and mortality. Intensifying intracranial pressure monitoring can help clinicians promptly identify secondary brain injury, providing crucial guidance for treatment strategy formulation and patient prognosis assessment, and playing a vital role in enhancing the success rate of rescue. Currently, intracranial pressure monitoring technology has become an important monitoring method for the clinical treatment of acute severe traumatic brain injury, significantly promoting the standardization and regularization of traumatic brain injury rescue work. Acute severe craniocerebral injury is a life-threatening condition, with a high risk of secondary brain injury for patients. To improve the quality of life of patients and promote the recovery of their cognitive, motor, and speech abilities, effective treatment methods must be provided. The combination of traditional Chinese and Western medicine can exert a synergistic therapeutic effect, with Western medicine saving lives and traditional Chinese medicine promoting recovery. It can form a complete rescue process integrating emergency treatment, awakening promotion, and rehabilitation, which is conducive to improving the success rate of rescue and the quality of life of patients. This article reviews the progress in intracranial pressure monitoring for acute severe traumatic brain injury and the situation of combined treatment with traditional Chinese and Western medicine, with the aim of providing guidance for the rational selection of intracranial pressure monitoring methods and treatment approaches in clinical practice.