| 扰动系数在颅脑损伤患者脑水肿监测中的应用价值 |
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| 引用本文： | 雷清梅,王闪闪,成金妹,钟龙和,包贇,彭晓洁,唐纯海,朱亚芳,周宏珍. 扰动系数在颅脑损伤患者脑水肿监测中的应用价值[J]. 重庆医学, 2018, 0(13): 1737-1739. DOI: 10.3969/j.issn.1671-8348.2018.13.010 |
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| 作者姓名： | 雷清梅 王闪闪 成金妹 钟龙和 包贇 彭晓洁 唐纯海 朱亚芳 周宏珍 |
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| 作者单位： | 南方医科大学南方医院,广州,510515南方医科大学第一临床医学院,广州,510515南方医科大学检验与生物技术学院,广州,510515南方医科大学南方医院神经外科,广州,510515南方医科大学南方医院重症医学科,广州,510515 |
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| 基金项目： | 广东省科技计划项目(2017A030303021、2016A020213006)，广州市科技计划项目(201803010084) |
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| 摘 要： | 目的 探讨扰动系数(DC)在颅脑损伤患者中的应用价值.方法 采用无创脑水肿监测技术对2016年6-11月该院54例颅脑损伤患者进行动态监护,详细记录患者的基本信息、DC、颅内压(ICP)和格拉斯昏迷评分(GCS),记录伤后6个月的格拉斯哥预后评分(GOS).结果 DC与ICP呈负相关(r=-0.7795,P＜0.01),与GCS、GOS呈正相关(r=0.667 5,P＜0.01;r=0.630 6,P＜0.01).预后良好患者的DC均值为106.99±4.09,预后不良患者的DC均值为85.26±4.45,差异有统计学意义(P＜0.05).结论 DC具有较好的临床应用价值.
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| 关 键 词： | 脑水肿 颅脑损伤 扰动系数 实时监护 brain edema craniocerebral trauma disturbance coefficient real-time monitoring |
Application value of non-invasive disturbance coefficient measurement on brain edema in patients with cerebral injury |
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| LEI Qingmei,WANG Shanshan,CHENG Jinmei,ZHONG Longhe,BAO Yun,PENG Xiaojie,TANG Chunhai,ZHU Yafang,ZHOU Hongzhen. Application value of non-invasive disturbance coefficient measurement on brain edema in patients with cerebral injury[J]. Chongqing Medical Journal, 2018, 0(13): 1737-1739. DOI: 10.3969/j.issn.1671-8348.2018.13.010 |
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| Authors: | LEI Qingmei WANG Shanshan CHENG Jinmei ZHONG Longhe BAO Yun PENG Xiaojie TANG Chunhai ZHU Yafang ZHOU Hongzhen |
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| Abstract: | Objective To explore the application disturbance coefficient (DC) value of noninvasive brain edema monitoring in patients after traumatic brain injury.Methods A total of 54 cerebral injury patients were performed by non-invasive brain edema monitoring from June to November 2016.The essential information,DC,intracranial pressure (ICP),and 6-month-later glasgow outcome score (GOS) were collected.Results DC was negatively correlated with ICP (r=-0.779 5,P＜0.01),and it was positively correlated with glasgow coma scale (GCS) and GOS (r=0.667 5,P＜0.01;r=0.630 6,P＜0.01).The mean of DC with good prognosis patients was 106.99±4.09,and that of the poor prognosis patients was85.26±4.45,the difference was statistically significant (P＜0.05).Conclusion DC has a good clinical application value. |
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