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颅内压监测的临床应用:争议与前景

张锋 刘波 周庆九

中国组织工程研究Issue(18):2945-2952,8.
中国组织工程研究Issue(18):2945-2952,8.DOI:10.3969/j.issn.2095-4344.2014.18.027

颅内压监测的临床应用:争议与前景

Clinical application of intracranial pressure monitoring:controversies and prospects

张锋 1刘波 1周庆九1

作者信息

  • 1. 新疆医科大学第一附属医院神经外科,新疆维吾尔自治区乌鲁木齐市 830054
  • 折叠

摘要

Abstract

BACKGROUND:Intracranial pressure monitoring as a kind of invasive monitoring technology has been applied clinical y, but its treatment effect is stil controversial. <br> OBJECTIVE:To review the development situation, future trends and clinical application of intracranial pressure monitoring technology. <br> METHODS:First author retrieved related articles published between January 1960 and October 2013 in the databases of PubMed, Medalink, Wanfang through computers. The key words were“intracranial pressure monitoring,increased intracranial pressure, brain injury, intracranial tumors, cerebral hemorrhage, cerebrovascular disease”in English and Chinese, respectively. The total number of the retrieved articles was 160, and 69 articles up to standard were included. <br> RESULTS AND CONCLUSION:Intracranial pressure monitoring technology is divided into invasive and noninvasive monitoring. The former is in clinical application for decades and has provided a lot of practice experience and data which makes it be increasingly mature. The latter is not widely used in clinic because of different levels of poor measurement accuracy, usage limitation, tedious methods, many influencing factors and so on. Now, there is not a monitoring method that can be used for clinical purposes with high accuracy, noninvasion, convenience and continuity. But, noninvasive multimodal monitoring is stil the trend in the development of intracranial pressure monitoring technology. Clinical y, intracranial pressure monitoring technique has been applied in the treatment of craniocerebral trauma, hypertension cerebral hemorrhage, intracranial&nbsp;tumor, cerebrovascular diseases, especial y in patients with craniocerebral trauma, which has accumulated plenty of clinical data. But in the majority with retrospective study, there is a lack of prospective, randomized control ed trial studies. Most studies have shown that intracranial pressure monitoring can analyze intracranial pressure changes in a timely manner, and give important reference value in judging intracranial injury and cerebral edema, guiding treatment, and estimating prognosis.

关键词

实验动物/组织构建/移植并发症/颅内压监测/颅内压增高/颅脑损伤/颅内肿瘤/脑出血/脑血管病

Key words

intracranial pressure/brain injuries/brain neoplasms/cerebral hemorrhage/cerebrovascular

分类

医药卫生

引用本文复制引用

张锋,刘波,周庆九..颅内压监测的临床应用:争议与前景[J].中国组织工程研究,2014,(18):2945-2952,8.

中国组织工程研究

OA北大核心CSTPCD

2095-4344

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