A clinical research on non-invasive and dynamic monitoring of cerebral edema in patients after craniotomy

ZHANG Ling1; ZHANG Quan2; CHEN Li-gang1; LIU Liang1; MING Yang1; LIU Luo-tong1; JIANG Yong1

doi:10.13406/j.cnki.cyxb.2011.06.020

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A clinical research on non-invasive and dynamic monitoring of cerebral edema in patients after craniotomy

更新时间：2024-01-17

- A clinical research on non-invasive and dynamic monitoring of cerebral edema in patients after craniotomy
- Journal of Chongqing Medical University Vol. 36, Issue 6, Pages: 728-731(2011)
- 作者机构：
  
  1. 泸州医学院附属医院神经外科
  2. 四川绵阳市人民医院神经外科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2011.06.020
  CLC： R651.1
- Published：2011，
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[1]张苓,张泉,陈礼刚,刘亮,明扬,刘洛同,江涌.无创动态监测在开颅术后脑水肿的临床应用研究[J].重庆医科大学学报,2011,36(06):728-731.

ZHANG Ling1, ZHANG Quan2, CHEN Li-gang1, et al. A clinical research on non-invasive and dynamic monitoring of cerebral edema in patients after craniotomy. [J]. Journal of Chongqing Medical University 36(6):728-731(2011)
[1]张苓,张泉,陈礼刚,刘亮,明扬,刘洛同,江涌.无创动态监测在开颅术后脑水肿的临床应用研究[J].重庆医科大学学报,2011,36(06):728-731. DOI： 10.13406/j.cnki.cyxb.2011.06.020.

ZHANG Ling1, ZHANG Quan2, CHEN Li-gang1, et al. A clinical research on non-invasive and dynamic monitoring of cerebral edema in patients after craniotomy. [J]. Journal of Chongqing Medical University 36(6):728-731(2011) DOI： 10.13406/j.cnki.cyxb.2011.06.020.

摘要

目的:探讨BORN-BE无创脑水肿动态监护仪在开颅术后脑水肿监测中的临床意义。方法:30例幕上占位病变患者为观察组

30例健康者为对照组。采用无创脑水肿动态监护仪连续观察颅脑肿瘤开颅手术后双侧大脑半球脑电阻抗（Cerebralelectrical impedance

CEI）扰动系数的变化。结果:30例患者术后第2～9天手术侧的CEI扰动系数均不同程度地高于健侧及正常对照组

以5～6 d最为明显

对比差异有统计学意义（P<0.05）。术前1 d、术后第1天、术后第10天两侧相差不明显

且与正常对照组相比

差异无统计学意义（P>0.05）。结论:无创脑水肿动态监护仪可反映脑水肿动态变化

尤其对幕上开颅术后脑水肿的发生、变化提供参考。

Abstract

Objective: To observe postoperative brain edema in patients undergoing craniotomy for intracranial space-occupying lesion by continuous monitoring with BORN-BE non-invasive dynamic brain edema monitor and evaluate the clinical value of the instrument

so as to provide the guidance for clinical treatment.Methods: Brain edema in 30 patients with supratentorial space-occupying lesions was deteced with BOEN-BE non-invasive brain edema monitor by observing the changes of cerebral electrical impendance perturbation coefficient values of bilateral hemispheres at preoperative 1d and postoperative 1~10 ds.Bilateral hemisphere cerebral electrical impedance perturbation coefficients values were detected with the same monitor in 30 subjects without brain disease as control group.Results: In 30 patients

the cerebral electrical impedance perturbation coefficients values in the operated sides at days 2~9 after operation were significantly higher

to varying degrees

than those in the healthy sides and healthy control group

especially at postoperative 5~6 ds(P<0.05).The difference between the two sides was less than 0.3 at preoperative 1d

postoperative 1 d

10 ds.The values were not significantly different between the patients and healthy control group(P>0.05).Conclusion: The non-invasive dynamic brain edema monitor is sensitive and objective to reflect the changes of cerebral edema in patients undergoing craniotomy

which can provide the refrence for evaluating and treating cerebral edema

especially for patients undergoing supratentorial craniotomy.

关键词

开颅术脑水肿脑电阻抗无创脑水肿动态监护仪扰动系数

Keywords

craniotomycerebral edemacerebral electrical impedancenon-invasive dynamic brain edema monitorperturbative coefficient

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Department of Anesthesiology,the First Affiliated Hospital,Chongqing Medical University

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