本文關(guān)鍵詞： 閃光視覺(jué)誘發(fā)電位無(wú)創(chuàng)顱內(nèi)壓監(jiān)測(cè)技術(shù) 年齡 顱內(nèi)壓 腰椎穿刺　出處：《中國(guó)老年學(xué)雜志》2017年17期 　論文類型：期刊論文

【摘要】：目的探討閃光視覺(jué)誘發(fā)電位無(wú)創(chuàng)顱內(nèi)壓監(jiān)測(cè)技術(shù)(FVEP-NIICPM)與腰椎穿刺技術(shù)檢測(cè)的差異及年齡因素對(duì)應(yīng)用FVEP-NIICPM技術(shù)檢測(cè)顱內(nèi)壓的影響。方法選取航天中心醫(yī)院神經(jīng)科診斷過(guò)程中根據(jù)病情需要行腰椎穿刺術(shù)并簽署知情同意書的患者150例,將年齡分3組:18~40歲為青年組(47例);41~65歲為中年組(56例);66~80歲為老年組(47例)。應(yīng)用FVEP-NIICPM技術(shù)檢測(cè)受試對(duì)象的顱內(nèi)壓,之后立即行腰椎穿刺并記錄腦脊液初壓。結(jié)果 FVEP-NIICPM檢測(cè)值與腰穿顱內(nèi)壓測(cè)量值有顯著差異(Z=-3.793,P=0.001);相關(guān)性分析顯示,應(yīng)用FVEP-NIICPM得到的檢測(cè)值與腰椎穿刺測(cè)得的顱內(nèi)壓值存在正相關(guān)(r=0.867,P=0.001)。不同年齡、性別、疾病診斷種類患者應(yīng)用FVEP-NIICPM技術(shù)與腰椎穿刺技術(shù)測(cè)量的顱內(nèi)壓差值均無(wú)顯著差異(P0.05)。結(jié)論應(yīng)用FVEP-NIICPM技術(shù)與腰椎穿刺技術(shù)測(cè)得的顱內(nèi)壓值不同,有統(tǒng)計(jì)學(xué)差異(P0.05),但二者所測(cè)數(shù)值具有顯著正相關(guān)性,且兩種方法所測(cè)得顱內(nèi)壓平均值絕對(duì)差值僅為5.5 mm H_2O,基本反映顱內(nèi)壓的實(shí)際情況不影響對(duì)臨床上的指導(dǎo)意義;年齡因素對(duì)FVEP-NIICPM技術(shù)測(cè)量顱內(nèi)壓無(wú)明顯影響。
[Abstract]:Objective to explore the difference between FVEP-NIICPMM and lumbar puncture technique in monitoring intracranial pressure with flash visual evoked potential (FVEP-NIICPMP) and the influence of age factors on intracranial pressure by FVEP-NIICPM technique. Methods the neurology department of Aerospace Center Hospital was selected to diagnose the intracranial pressure. According to the needs of the patient's condition, 150 patients underwent lumbar puncture and signed an informed consent form. The patients were divided into 3 groups (n = 47): the age of 18: 40 years old was 18: 40 years old. The intracranial pressure (ICP) of the subjects was measured by FVEP-NIICPM technique, and 47 cases were divided into 4 groups (n = 47): the age group (n = 47) was divided into 4 groups (n = 47). Results there was significant difference between the measured values of FVEP-NIICPM and intracranial pressure of lumbar puncture and the correlation analysis showed that there was a significant difference between the measured value of FVEP-NIICPM and the measured value of intracranial pressure through lumbar puncture. There was a positive correlation between the measured value of FVEP-NIICPM and the value of intracranial pressure measured by lumbar puncture. There was no significant difference in intracranial pressure difference between FVEP-NIICPM technique and lumbar puncture technique. Conclusion the intracranial pressure measured by FVEP-NIICPM technique and lumbar puncture technique is different. There was a statistical difference (P 0.05), but there was a significant positive correlation between the two values, and the absolute difference between the two methods was only 5.5 mm H _ 2O, which basically reflected the actual situation of intracranial pressure and had no effect on the clinical significance. Age had no significant effect on the measurement of intracranial pressure by FVEP-NIICPM.
【作者單位】： 遼寧醫(yī)學(xué)院航天中心醫(yī)院研究生培養(yǎng)基地神經(jīng)內(nèi)科;航天中心醫(yī)院神經(jīng)內(nèi)科;
【基金】：北京市自然科學(xué)基金(No.152027)
【分類號(hào)】：R741.04

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