[1]李辉,黄志坚,文毫,等.颅内动脉瘤夹闭术后颅内压波形参数的临床价值[J].第三军医大学学报,2018,40(07):631-635.
 LI Hui,HUANG Zhijian,WEN Hao,et al.Clinical value of intracranial pressure wave parameters in patients after intracranial aneurysm clipping[J].J Third Mil Med Univ,2018,40(07):631-635.
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
40卷
期数:
2018年第07期
页码:
631-635
栏目:
临床医学
出版日期:
2018-04-15

文章信息/Info

Title:
Clinical value of intracranial pressure wave parameters in patients after intracranial aneurysm clipping
作者:
李辉黄志坚文毫漆凌骏刘国静柴伟娜徐丹杨小敏孙晓川
重庆医科大学附属第一医院神经外科;重庆大学物理学院
Author(s):
LI Hui HUANG Zhijian WEN Hao QI Linjun LIU Guojing CHAI Weina XU Dan YANG Xiaomin SUN Xiaochuan

Department of Neurosurgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016; College of Physics, Chongqing University, Chongqing, 400044, China

关键词:
颅内动脉瘤夹闭颅内压颅内压振幅
Keywords:
intracranial aneurysm clipping intracranial pressure intracranial pressure wave amplitudes
分类号:
R181.32; R741.044; R743.9
文献标志码:
A
摘要:

目的     分析颅内压波形参数与患者术后早期临床表现的相关性,探讨颅内动脉瘤夹闭术后颅内压波形参数的临床价值。方法    收集2016年11月至2017年7月重庆医科大学附属第一医院神经外科重症监护室颅内动脉瘤夹闭术后使用颅内压(intracranial pressure,ICP)监测的55例患者的临床资料。根据患者ICP植入术后24 h内的ICP数据,使用领域平均振幅算法计算2个ICP波形参数:平均ICP值(mean intracranial pressure,MICP)和平均ICP振幅值(mean intracranial pressure wave amplitude,MWA)。分析MICP、MWA与患者术前病情及术后早期临床表现的关系。结果    ①患者术前病情较轻者,其术后MICP、MWA越低。②根据术后格拉斯哥评分(glasgow coma score,GCS)将患者分为3组(GCS 3~8分,GCS 9~12分,GCS 13~15分),各组间MICP和MWA差异均有统计学意义(P<0.05)。③术后GCS评分与MICP(r=-0.619,P<0.05)、MWA(r=-0.782,P<0.05)呈负相关,且MWA与GCS评分相关性更强。结论    ICP波形参数MICP、MWA能有效地反映颅内动脉瘤夹闭术后早期患者的神经功能障碍。

Abstract:

Objective     To analyze the correlation between the parameters of intracranial pressure wave and early clinical manifestations in the patients after intracranial aneurysm clipping, and investigate the clinical value of these parameters. Methods    Clinical data of 55 patients with full data on intracranial pressure (ICP) after intracranial aneurysm clipping in our neurosurgical department from November 2016 to July 2017 were collected in this study. According to the ICP results within 24 h after implantation, 2 ICP parameters, mean intracranial pressure (MICP) and mean intracranial pressure wave amplitude (MWA) were calculated by area average amplitude algorithm. The correlations of MICP and MWA with the preoperative conditions and postoperative clinical manifestations were analyzed. Results     ①For the patients with milder preoperative conditions, they had lower MICP and MWA after operation. ②When the patients were divided into 3 groups based on Glasgow coma score (GCS, 3~8, 9~12 and 13~15 points respectively), significant differences were seen in MWA and MICP among different GCS groups (P<0.05). ③There were negative correlation of postoperative GCS score with MICP (r=-0.619, P<0.05) and MWA (r=-0.782, P<0.05), with MWA more significant. Conclusion    ICP wave parameters, MWA and MICP, both can effectively indicate early nervous dysfunction in patients after intracranial aneurysm clipping.

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更新日期/Last Update: 2018-04-11