闪光视觉诱发电位无创颅内压监测在高血压性脑出血中的应用

目的 探讨闪光视觉诱发电位（FVEP）无创颅内压（ICP）监测在高血压性脑出血中的应用价值。方法 2016年2月至2018年2月收治符合标准的高血压性脑出血100例，根据治疗方法分为观察组（50例）和对照组（50例）。对照组依据临床表现、影像学资料治疗，观察组在对照组的基础上应用FVEP无创ICP监测指导治疗。结果 出院时，观察组死亡4例，植物生存1例，重残1例，中残14例，恢复良好30例；对照组死亡10例，植物生存3例，重残3例，中残15例，恢复良好19例。观察组恢复良好率（60.0%）明显高于对照组（38.0%，P<0.05），死亡率（8.0%）明显低于对照组（20.0%，P<0.05）。结论 对高血压性脑出血，FVEP无创ICP监测指导下治疗有助于改善预后。

Treatment of hypertensive cerebral hemorrhage under noninvasive intracranial pressure monitoring with flashing visual evoked potential

Objective To observe the value of noninvasive intracranial pressure (NICP) monitoring with flashing visual evoked potential (FVEP) to the treatment of hypertensive cerebral hemorrhage (HCH). Methods One hundred patients with HCH treated in our hospital from February, 2016 to February, 2018 were divided into control group in which 50 patients received the treatment according to clinical manifestations and imaging data, and observed group in which 50 patients received the treatment under NICP monitoring with FVEP on the basis of patients’ condition assessed by the control group method. The NICP and cerebral perfusion pressure (CPP) were observed in both the groups before and after the treatment. Results The percentage of the patients with GOS grade Ⅰ (8.0%, 4/50) was significantly lower, and the percentage of patients with GOS grade Ⅴ (60.0%, 30/50) was significantly higher in the observed group than those 20.0% (10/50) and 38.0% (19/50), respectively] in the control group (P<0.05). Conclusion The treatment under the guidance of NICP monitoring with FVEP is helpful to the improvement of the prognosis in the patients with HCH.