| 脑状态指数监测用于开颅术后持续意识障碍的预测 |
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| 引用本文： | 徐明,郑一,王谦,雷燕妮,王国年,周建新.脑状态指数监测用于开颅术后持续意识障碍的预测[J].北京医学,2009,31(4):201-204. |
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| 作者姓名： | 徐明 郑一 王谦 雷燕妮 王国年 周建新 |
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| 作者单位： | 首都医科大学附属北京天坛医院ICU,邮编,100050;哈尔滨医科大学附属第三医院麻醉科 |
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| 摘 要： | 目的评价开颅术后早期脑状态指数（CSI）监测对远期意识状态预测的准确性。方法连续纳入57例开颅术后延迟苏醒拔管的患者,术后6h内连续监测CSI,并每小时评价患者对语言或疼痛刺激的反应（GCS-M）。于术后24h随访患者的意识状态,按照是否遵嘱,将患者分为清醒组（51例）和未醒组（6例）,比较CSI在两组间的差异。计算术后1～6hCSI监测值在预测术后24h意识障碍时的预测概率（PK）。结果清醒组入ICU后1h的CSI为75±12,在第2～6h明显升高（85±12～88±7,P﹤0.05）。未醒组在入ICU后1～6h的CSI监测无显著变化,波动于43±15～52±19（P﹥0.05）。清醒组CSI监测数值在各监测时点均高于未醒组。术后6h内监测CSI,预测术后24h意识障碍的PK值为0.94～0.99。结论开颅术后6h内进行CSI监测,可较为准确地预测术后24h的意识状态。CSI可作为开颅术后意识状态监测的客观辅助手段。
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| 关 键 词： | 开颅手术 术后监测 意识 预测 |
Use of cerebral state index monitoring to predict persistent unconsciousness in patients after craniotomy |
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| XU Ming,ZHENG Yi,WANG Qian,et al.Use of cerebral state index monitoring to predict persistent unconsciousness in patients after craniotomy[J].Beijing Medical Journal,2009,31(4):201-204. |
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| Authors: | XU Ming ZHENG Yi WANG Qian |
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| Institution: | XU Ming,ZHENG Yi,WANG Qian,et al(Intensive Care Unit,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050) |
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| Abstract: | Objective To evaluate the prediction probability of early cerebral state index(CSI) monitoring for long-term postoperative unconsciousness in craniotomy patients.Methods 57 consecutive adult patients admitted to intensive care unit after elective craniotomy with delayed recovery were enrolled.CSI was continuously monitored for 6 hours after operation.The motor responses to verbal or painful stimuli in Glasgow Coma Scale(GCS-M) were assessed every hour for six hours.The level of consciousness was followed up... |
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| Keywords: | Craniotomy Postoperative monitoring Consciousness Prediction |
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