[1]伍荣乐.重症超声评估对重型颅脑损伤去骨瓣减压术后患者血管反应性、血流状态的影响[J].医学信息,2022,35(21):77-80.[doi:10.3969/j.issn.1006-1959.2022.21.017]
　WU Rong-le.Effect of Severe Ultrasound Evaluation on Vascular Reactivity and Blood Flow Status in Patients with Severe Craniocerebral Injury After Decompressive Craniectomy[J].Journal of Medical Information,2022,35(21):77-80.[doi:10.3969/j.issn.1006-1959.2022.21.017]
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重症超声评估对重型颅脑损伤去骨瓣减压术后患者血管反应性、血流状态的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年21期
页码:
77-80
栏目:
论著
出版日期:
2022-11-01

文章信息/Info

Title:
Effect of Severe Ultrasound Evaluation on Vascular Reactivity and Blood Flow Status in Patients with Severe Craniocerebral Injury After Decompressive Craniectomy
文章编号:
1006-1959（2022）21-0077-04
作者:
伍荣乐
（台山市人民医院重症医学科，广东 台山 529200）
Author(s):
WU Rong-le
(Department of Intensive Care Unit,Taishan People’s Hospital,Taishan 529200,Guangdong,China)
关键词:
重症超声; 重型颅脑损伤; 去骨瓣减压术; 血管反应性; 血流状态
Keywords:
Severe ultrasound; Severe craniocerebral injury; Decompressive craniectomy; Vascular reactivity; Blood flow status
分类号:
R445.3；R651.15
DOI:
10.3969/j.issn.1006-1959.2022.21.017
文献标志码:
A
摘要:
目的 探究重症超声评估对重型颅脑损伤去骨瓣减压术后患者血管反应性、血流状态的影响。方法 选取我院重症医学科2021年3月-2021年11月收治的重型颅脑损伤开颅去骨瓣减压术后患者60例，均行头部CT及重症超声检查，比较两种检查方式的检查结果，并采用重症超声监测患者术后不同时间段脑血管动力学、血流状态、血管反应性变化。结果 重症超声与头部CT的脑出血、脑实质出血、中线结构移位、脑室改变、硬膜下积液检出率比较，差异无统计学意义（P＞0.05）；重症超声监测患者术后不同时间段收缩期峰值流速及平均血流速度比较，差异有统计学意义（P＜0.05）；患者术后不同时间段舒张期末血流速度与搏动指数比较，差异无统计学意义（P＞0.05）；重症超声监测患者术后不同时间段脑充血、脑血管痉挛发生率比较，差异有统计学意义（P＜0.05）；患者术后不同时间段脑缺血发生率比较，差异无统计学意义（P＞0.05）；患者术后不同时间段心率、CO2反应性比较，差异无统计学意义（P＞0.05）。结论 采用重症超声可在床旁连续监测重型颅脑损伤开颅去骨瓣减压术后患者病情，实现与颅脑CT基本相似的检查效果，同时可及时发现脑血管动力学、血流状态、血管反应性变化，以预防并发症的发生。
Abstract:
Objective To investigate the effect of severe ultrasound evaluation on vascular reactivity and blood flow status in patients with severe craniocerebral injury after decompressive craniectomy.Methods From March 2021 to November 2021, 60 patients with severe craniocerebral injury after decompressive craniectomy were selected from the Department of Critical Care Medicine of our hospital. All patients underwent head CT and severe ultrasound examination. The results of the two examination methods were compared, and severe ultrasound was used to monitor the changes of cerebrovascular dynamics, blood flow status and vascular reactivity at different time periods after operation.Results There was no significant difference in the detection rates of cerebral hemorrhage, cerebral parenchymal hemorrhage, midline structure displacement, ventricular changes and subdural effusion between severe ultrasound and head CT (P>0.05), there were significant differences in peak systolic velocity and mean blood flow velocity between patients with severe ultrasound monitoring at different time periods after operation (P<0.05), while there was no significant difference in end-diastolic blood flow velocity and pulsatility index at different time periods after operation (P>0.05), there were statistically significant differences in the incidence of cerebral congestion and cerebral vasospasm in patients with severe ultrasound monitoring at different time periods after surgery (P<0.05), while there was no significant difference in the incidence of cerebral ischemia at different time after operation (P>0.05), there was no significant difference in heart rate and CO2 reactivity at different time periods after operation (P>0.05).Conclusion Severe ultrasound can be used to continuously monitor the condition of patients with severe craniocerebral injury after craniotomy and decompressive craniectomy, and achieve the examination effect similar to that of craniocerebral CT. At the same time, it can detect the changes of cerebrovascular dynamics, blood flow state and vascular reactivity in time to prevent complications.

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更新日期/Last Update: 1900-01-01