Recent advance in intracranial pressure waveform and its application in patients with severe neurological diseases
车腾雨 1孙泽林 2高玮琪 1成杰 2刘凯
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作者信息
1. 华北理工大学研究生院，唐山 063000
2. 华北理工大学附属医院神经外科，唐山 063007
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摘要
颅内压（ICP）监测是观察神经重症患者病情的一种重要方式。目前主要依靠ICP均值反映患者ICP水平，但随着科技手段的进步及相关领域研究的深入，ICP波形及其相关的衍生指标越来越受到临床工作者的关注。本文现基于ICP波形的种类、形态及其相关衍生指标如压力反应指数、压力振幅指数等，围绕ICP波形与脑组织顺应性、脑组织病变的可能关系及其临床应用进行综述，以期为ICP波形在神经重症患者中的广泛应用提供一些参考借鉴。 Intracranial pressure (ICP) monitoring is an important way to observe the condition of patients with severe neurological diseases at present, ICP detection mainly relies on mean ICP, but with the progress of scientific and technological means and deepened research in related fields, ICP waveforms and their related derivative indicators have attracted more and more attention from clinicians. Based on the types and morphologies of ICP waveforms and their related derivative indexes, such as pressure response index and pressure amplitude index, relationships of ICP waveforms with brain tissue compliance and brain tissue lesions, and their clinical application are reviewed to provide some references for application of ICP waveforms in patients with severe neurological diseases.
Abstract
Intracranial pressure (ICP) monitoring is an important way to observe the condition of patients with severe neurological diseases at present, ICP detection mainly relies on mean ICP, but with the progress of scientific and technological means and deepened research in related fields, ICP waveforms and their related derivative indicators have attracted more and more attention from clinicians. Based on the types and morphologies of ICP waveforms and their related derivative indexes, such as pressure response index and pressure amplitude index, relationships of ICP waveforms with brain tissue compliance and brain tissue lesions, and their clinical application are reviewed to provide some references for application of ICP waveforms in patients with severe neurological diseases.
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