[1]陈桂兰 喻军华 肖 胜 黄锦峰 严 颖 柯晓燕 胡翠兰.闪光视觉诱发电位无创颅内压监测在高血压性脑出血中的应用[J].中国临床神经外科杂志,2018,(11):731-734.[doi:10.13798/j.issn.1009-153X.2017.11.009]
 CHEN Gui-lan,YU Jun-hua,XIAO Sheng,et al.Treatment of hypertensive cerebral hemorrhage under noninvasive intracranial pressure monitoring with flashing visual evoked potential[J].,2018,(11):731-734.[doi:10.13798/j.issn.1009-153X.2017.11.009]
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闪光视觉诱发电位无创颅内压监测在高血压性脑出血中的应用()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年11期
页码:
731-734
栏目:
论著
出版日期:
2018-11-25

文章信息/Info

Title:
Treatment of hypertensive cerebral hemorrhage under noninvasive intracranial pressure monitoring with flashing visual evoked potential
作者:
陈桂兰 喻军华 肖 胜 黄锦峰 严 颖 柯晓燕 胡翠兰
436000 湖北,鄂州市中心医院神经外科(陈桂兰、喻军华、肖 胜、黄锦峰、严 颖、柯晓燕、胡翠兰)
Author(s):
CHEN Gui-lan YU Jun-hua XIAO Sheng HUANG Jin-feng YAN Ying KE Xiao-yan HU Cui-lan.
Department of Neurosurgery, Ezhou Municipal Central Hospital, Ezhou 436000, China
关键词:
高血压性脑出血闪光视觉诱发电位无创颅内压监测预后
Keywords:
Hypertensive cerebral hemorrhage Flash visual evoked potential Intracranial pressure Monitoring Effects
分类号:
R 743.34
DOI:
10.13798/j.issn.1009-153X.2017.11.009
文献标志码:
A
摘要:
目的 探讨闪光视觉诱发电位(FVEP)无创颅内压(ICP)监测在高血压性脑出血中的应用价值。方法 2016年2月至2018年2月收治符合标准的高血压性脑出血100例,根据治疗方法分为观察组(50例)和对照组(50例)。对照组依据临床表现、影像学资料治疗,观察组在对照组的基础上应用FVEP无创ICP监测指导治疗。结果 出院时,观察组死亡4例,植物生存1例,重残1例,中残14例,恢复良好30例;对照组死亡10例,植物生存3例,重残3例,中残15例,恢复良好19例。观察组恢复良好率(60.0%)明显高于对照组(38.0%,P<0.05),死亡率(8.0%)明显低于对照组(20.0%,P<0.05)。结论 对高血压性脑出血,FVEP无创ICP监测指导下治疗有助于改善预后。
Abstract:
Objective To observe the value of noninvasive intracranial pressure (NICP) monitoring with flashing visual evoked potential (FVEP) to the treatment of hypertensive cerebral hemorrhage (HCH). Methods One hundred patients with HCH treated in our hospital from February, 2016 to February, 2018 were divided into control group in which 50 patients received the treatment according to clinical manifestations and imaging data, and observed group in which 50 patients received the treatment under NICP monitoring with FVEP on the basis of patients’ condition assessed by the control group method. The NICP and cerebral perfusion pressure (CPP) were observed in both the groups before and after the treatment. Results The percentage of the patients with GOS grade Ⅰ (8.0%, 4/50) was significantly lower, and the percentage of patients with GOS grade Ⅴ (60.0%, 30/50) was significantly higher in the observed group than those [20.0% (10/50) and 38.0% (19/50), respectively] in the control group (P<0.05). Conclusion The treatment under the guidance of NICP monitoring with FVEP is helpful to the improvement of the prognosis in the patients with HCH.

参考文献/References:


[1] 党 伟,李 明,陈雪江,等. 无创颅内压监测在早期高血 压脑出血后血肿扩大中的预警效果[J]. 中国实用神经疾 病杂志,2015,18(4):58-59.
[2] 孙耀辉,黄建聪,黄麟,等. 高血压脑出血血压波动与再出 血的关系[J]. 实用医学杂志,2011,27(6):1053-1055.
[3] 李建飞,陈治标,邓 钢,等. 颅内压监测在钻孔引流术治 疗高血压性脑出血中的应用[J]. 中国临床神经外科杂 志,2016,21(12):773-774.
[4] 孙耀辉,黄 麟,黄建聪,等. 高血压脑出血手术时机与术 后再出血相关性分析[J]. 实用医学杂志,2011,27(8): 1412-1414.
[5] 黄 富,肖 华,赵振林,等. 高血压脑出血昏迷患者脑功 能状态监测的临床研究[J]. 中华神经医学杂志,2011,10 (10):1042-1044.
[6] 石 柳. 无创颅内压监测在重型颅脑损伤中的临床应用 分析[J]. 现代医药卫生,2014,30(4):511-512,514.
[7] 张文德,吴勤奋,邹志浩,等. 血肿腔钻孔联合侧脑室置管 引流治疗老年性高血压脑出血的临床研究[J]. 中华神经 医学杂志,201l,10(4):410-412.
[8] 刘浩波,岳盛魁. 无创颅内压监护仪在重症颅脑损伤治中 的预警作用[J]. 中国实用医刊,2014,41(22):55-56.
[9] 金同新,刘卫明,陆逢时,等. 脑疝锥颅术前后无创颅内压 监测的临床意义分析[J]. 医学信息(上旬刊),2011,24 (12):373-374.
[10] Fargen KM, Velat GJ, Lewis SB, et al. Concomitant intracra- nial pressure monitoring during venous sinus stenting for intracranial hypertension secondary to venous sinusstenosis [J]. J Neurointerv Surg, 2013, 5(4): e22-23.
[11] Cavascan NN, Salomao SR, Sacai PY, et al. Contributing factors to vep grating acuity deficit and interocular acuity difference in children with cerebral visual impairment [J]. Doc Ophthalmol, 2014, 128(2): 91-99.
[12] 唐家彦,张 胜,罗序峰,等. 闪光视觉诱发电位无创监 测重症儿童颅内压[J]. 广东医学,2016,37(1)86-87.
[13] 汤家兵. 闪光视觉诱发电位颅内压无创检测仪在颅脑损 伤脱水剂应用中的意义[J]. 中国临床神经外科杂志, 2012,17(5):308-309.

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备注/Memo

备注/Memo:
基金项目:湖北省卫计委科研立项(WJ2017F115) 作者单位:436000 湖北,鄂州市中心医院神经外科(陈桂兰、喻军华、肖 胜、黄锦峰、严 颖、柯晓燕、胡翠兰) 通讯作者:喻军华,E-mail:hbezyjh@126.com
更新日期/Last Update: 2018-11-20