国际医药卫生导报2016，Vol.22Issue(23)：3546-3547,3572,3.DOI:10.3760/cma.j.issn.1007-1245.2016.23.002
闪光视觉诱发电位在重症儿童颅内压监测中的临床意义
The clinical significance of flash visual evoked potentials in intracranial pressure monitoring of critically ill children
摘要
Abstract
Objective To study the clinical significance of flash visual evoked potentials (fVEP) in intracranial pressure monitoring of critically ill children.Methods 60 cases of highly suspected intracranial hypertension admitted in our department were enrolled from June 2014 to October 2015.fVEP was monitored to get P1 latency stage of patients,intracranial pressure value was recorded through lumbar puncture.The treatment measures of reducing intracranial pressure were carry out in the patients consistent with intracranial hypertension diagnostic criteria.fVEP was measured again 30 minutes,2 hours,6 hours after intravenous dropping ofmannitol respectively.Compared the changes of intracranial pressure and P1 latency stage.Results 43 children met the diagnostic criteria for intracranial hypertension,and P 1 latency stage extended.P 1 latency stage detected by fVEP before treatment was (139.8±10.5)ms,that 30 minutes after treatment was (127.5±12.4)ms,that 2 hours after treatment was (112.4±9.5)ms,that 6 hours after treatment was (124.1±8.5)ms.P1 latency stage began to shorten 30 minutes after intravenous dropping of mannitol,reduced to the minimum 2 hours later,rebounded 6 hours later.Changes of P1 wave latency stage were consistent with action time of mannitol on intracranial pressure.Conclusion Non-invasive monitoring of intracranial pressure with fVEP has the advantages of real-time,convenience,and safety,with important clinical value.关键词
闪光视觉诱发电位/重症儿童/颅内高压Key words
Flash visual evoked potentials/Critically ill children/Intracranial hypertension引用本文复制引用
梁兰梅,张胜,罗序峰..闪光视觉诱发电位在重症儿童颅内压监测中的临床意义[J].国际医药卫生导报,2016,22(23):3546-3547,3572,3.基金项目
中山市医学科研项目(2014J134)Medical Scientific Research Projects of Zhongshan City (2014J134) （2014J134）
