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뇌동맥류 수술환자에게 적용한 두부체위가 두개강내압에 미치는 영향

 Effect of Head Elevation and Position on Intracranial Pressure(ICP) in the Neurosurgical Patient with a Cerebral Aneurysm

Journal of Korean Academy of Nursing 1997년 27권 3호 p.503 ~ 509
KMID : 0806119970270030503
박혜자
최경옥/이병옥/정은주/유양숙

Abstract

This study was undertaken to identify optimal head elevation and position in the care of the neurosurgical patient with a cerebral aneurysm. The effects of 0°. 15° and 30° head elevation and three positions (supine, side tying position opposite to the operation site, and side tying position on the same side as the operation site) on ICP was studied in fourteen neurosurgical patients with cerebral aneurysms. The results are as follows : 1. The mean intracranial pressure was significantly lower when the patients head was elevated at 30° as compared to 0° and 15°. 2. The mean intracranial pressure was significantly lower when the patient was positioned in the supine as compared to side tying position opposite to the operation site and side tying position on the same side as the operation site. The data indicate that head elevation to 30° and the supine position reduce ICP in neurosurgical patients with cerebral aneurysm.
KeyWords
두개강내압, 두부체위, ICP, Head Position
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed