临床神经病学杂志2016，Vol.29Issue(5)：355-358,4.
无创脑水肿动态监测对神经危重症患者病情及预后的评估
Assessment of condition and prognosis in patients with neurological intensive by non-invasive dynamic monitoring of cerebral edema
摘要
Abstract
Objective to evaluate the condition and prognosis in patients with neurological intensive by non-invasive dynamic monitoring of cerebral edema,and provide theoretical basis for judging severity of brain edema and guiding treatment in clinical timely. Methods Selection of 127 cases with disturbance of consciousness in neurological intensive care unit ( NICU) of Kailuan General Hospital, monitoring and recording agitating coefficient of bilateral cerebral hemisphere brain by non-invasive brain edema monitor beside the bed dynamicly, at the same time recording the patients, GCS score, NIHSS score and mRS score which could assess the patients prognosis during the onset of 1 month.All patients classified according to different causes, analyzing monitoring cerebral hemisphere volatility of agitating coefficient and the difference of bilateral hemispheres in all kinds of patients at different time points, and associating risk factors that affected prognosis of patients.Results Agitating coefficient of patients with cerebral infarction and cerebral hemorrhage of severe unilateral internal carotid artery system were significant rise (F=3.45,P=0.0249;F =3.75,P=0.0225) within 14 days of the extended over time, and there were no statistical difference in agitating coefficient between bilateral cerebral hemisphere brain (P>0.05), but in severe cerebral infarction patients with unilateral internal carotid artery system agitating coefficient of the onset of 2 to 7 days and 7 to 14 days monitoring group was higher than that of the contralateral >0.3.Variable multiple Logistic regression analysis which made patient prognosis as the dependent showed that patients with severe cerebral infarction, the lower the GCS score, the higher the NIHSS score, the higher the risk of contralateral agitating coefficient, as well as worse prognosis of patients with cerebral hemorrhage.Conclusion Noninvasive brain edema dynamic monitoring can be relatively accurately reflect the degree of cerebral edema in patients with neurological intensive and provide certain guidance for the clinical treatment and prognosis of cerebral edema.关键词
神经危重症/无创脑水肿动态监测/病情判断/预后Key words
neurological intensive/non-invasive dynamic monitoring of cerebral edema/condition judgment/prognosis分类
医药卫生引用本文复制引用
张英杰,元小冬,赵营,吴宗武,刘顺莉,刘颖,欧亚,江茜茜,王淑娟..无创脑水肿动态监测对神经危重症患者病情及预后的评估[J].临床神经病学杂志,2016,29(5):355-358,4.基金项目
2016年河北省重点研发计划项目 （）
