闪光视觉诱发电位无创颅内压监测在创伤后不合并血肿的弥漫性脑肿胀中的应用  

APPLICATION OF NONINVASIVE MONITORING OF INTRACRANIAL PRESSURE WITH FLASH VISUAL EVOKED POTENTIAL (FVEP) IN TREATMENT OF POSTTRAUMATIC ACUTE DIFFUSE BRAIN SWELLING (PADBS) WITHOUT HEMATOMA

作　　者：苏玉涛[1] 荆鸿道[1] 郭跃平[1] 张文坡[1] 王新[1] 王文犀[1] 郭立刚[1] 何志刚[1] 刘杰[2] 刘田清 

机构地区：[1]解放军252医院神经外科,071000 [2]保定市第一中心医院神经内科 [3]保定市阜平县中医院

出　　处：《现代电生理学杂志》2015年第3期133-137,共5页Journal of Modern Electrophysiology

摘　　要：目的：探讨闪光视觉诱发电位无创颅内压监测在创伤后不合并血肿的弥漫性脑肿胀中的作用和对预后的影响；方法：回顾性分析创伤后急性弥漫性脑肿胀不合并颅内血肿的患者96例，应用闪光视觉诱发电位无创颅内压监测的47例患者纳入研究组，未应用无创颅内压监测治疗的49例患者纳入对照组，比较两组患者的预后，伤后6个月GOS评分作为疗效的评估指标判定预后。结果：在GCS评分5～8分中，研究组植物生存和死亡人数（4例）明显低于对照组（16例）（P〈0．05）。从平均秩次判断，研究组47例（2063．5）疗效好于对照组（2591．5），但从两组所有病人的预后情况上看无统计学差异（P〉0．05）。结论：闪光视觉诱发电位无创颅内压监测在创伤后不合并血肿的弥漫性脑肿胀患者中有重要指导作用。Objective： To investi monitoring of intracranial pressure with flash vis gate the clinical effect and influence of prognosis of noninvasive ual evoked potential （ FVEP ） in treating of posttraumatic acute diffuse brain swelling （PADBS） without hematoma. Methods： We retrospectively analyse 96 patients with PADBS without hematoma, noninvasive monitoring of intracranial pressure with FEVP of 47 patients were enrolled as the study group. Another 49 patients without noninvasive monitoring of intracranial pressure with FVEP were the control group. The clinical outcomes of the two groups were compared. Results： All patients whose GOS were between 5-8 scale, the vegetive state and death patients were 4 in the study group and 16 in the control group （P〈0.05）. The result of average rank test was better in the study group （ 2063.5 ） than the control group （ 2591.5 ）, but the result of prognosis between the two groups had no statistical difference （P 〉 0.05 ） . Conclusion ： Noninvasive monitoring of intracranial pressure with FVEP has an important role in guiding the treatment for patients of PADBS without hematoma.

关 键 词：视觉诱发电位 创伤和损伤 脑水肿 颅内压 

分 类 号：R651.15[医药卫生—外科学]