CAJ | 학술논문

目的：探讨应用闪光视觉诱发电位（FVEP）无创颅内压（ICP）监测结合头颅CT在治疗颅脑损伤患者中的应用价值。方法用ICP监测仪对80例中、重型颅脑损伤患者进行ICP监测，伤后3 d内重点监测，每次监测后行头颅CT检查并计分，分析CT演变过程，与ICP值对照。结果患者的ICP值和同期头颅CT计分比较，重型患者高于中型患者，差异有统计学意义（P＜0．05）。ICP值与头颅CT计分呈显著相关（r＝0．93，P＜0．05）。经CT证实的21例迟发创伤性颅内血肿（DTIH），比较入院24 h ICP值，发现颅内血肿增大或一侧脑挫伤加重时，压力差也随之加大。结论 FVEP无创ICP监测结合头颅CT检查可以简单、无创、较准确反映ICP，对早期判断病情进展，指导治疗及评估预后有重要意义。
목적：탐토응용섬광시각유발전위（FVEP）무창로내압（ICP）감측결합두로CT재치료로뇌손상환자중적응용개치。방법용ICP감측의대80례중、중형로뇌손상환자진행ICP감측，상후3 d내중점감측，매차감측후행두로CT검사병계분，분석CT연변과정，여ICP치대조。결과환자적ICP치화동기두로CT계분비교，중형환자고우중형환자，차이유통계학의의（P＜0．05）。ICP치여두로CT계분정현저상관（r＝0．93，P＜0．05）。경CT증실적21례지발창상성로내혈종（DTIH），비교입원24 h ICP치，발현로내혈종증대혹일측뇌좌상가중시，압력차야수지가대。결론 FVEP무창ICP감측결합두로CT검사가이간단、무창、교준학반영ICP，대조기판단병정진전，지도치료급평고예후유중요의의。
Objective To explore the treatment value of the application of flash visual evoked potential (FVEP)noninvasive in-tracranial pressure monitoring combined with head CT in patients with craniocerebral injury.Methods ICP monitoring was performed on 80 cases of patients with severe craniocerebral injury,focusing on 3 days after injury,and after each monitoring skull CT examination and scoring were made,then the CT evolution process was analysed and compared with the ICP value.Results The ICP value and the corresponding head CT score of patients with heavy injury were higher than those of medium injury patients,and the difference was statistically significant (P<0.05).ICP values were significantly correlated with CT score (r=0.93,P<0.05 head).For 21 cases of delayed traumatic intracranial he-matoma (DTIH)confirmed by CT,when 24 h ICP values were measured,it was found that with the enlargement of intracranial hematoma the increase of one side of the brain contusion,the pressure increased accordingly.Conclusion FVEP ICP noninvasive monitoring combined with the head CT examination is a simple,noninvasive method which can accurately reflect the progression of ICP,and has important significance in early detection,guiding treatment and evaluating prognosis.