在脑内出血中使用POCUS获得的视神经外直径
Alireza Nathani1, Shekhar A Ghamande1, Sarita Kambhampati1
1Baylor Scott & White Health, Baylor College of Medicine Temple, TX USA.
POCUS journal
|December 15, 2023
概括
照顾点的超声波可以测量视神经外直径 (ONSD),以监测脑内出血 (ICH) 的进展. ONSD适度与血液瘤大小相关,为跟踪ICH稳定性提供了一种非侵入性方法.
科学领域:
- 神经科学是一个神经科学.
- 医疗成像医学成像
- 临界护理医学 临界护理医学
背景情况:
- 脑内出血 (ICH) 具有显著的发病率和死亡率风险.
- 由于患者的意识水平和临床管理,监测ICH进展是具有挑战性的.
- 由于ICH而增加的内压力可能会导致视神经外膨胀.
研究的目的:
- 为了研究脑内出血 (ICH) 体积和视神经外直径 (ONSD) 之间的相关性.
- 评估治疗点超声波 (POCUS) 对ICH患者测量ONSD的实用性.
主要方法:
- 通过头部CT扫描诊断出ICH的患者的未来招募.
- 使用便携式超声波测量视神经外直径 (ONSD).
- 收集了ICH血瘤体积,APACHE IV分数和ICH分数的数据.
- 使用斯皮尔曼等级相关性和威尔科克森等级总和测试进行统计分析.
主要成果:
- 在出血量和平均ONSD之间发现了中等的正相关性 (r=0.4214,p=0.0255).
- 在平均ONSD和APACHE IV (r=0.2347) 和ICH得分 (r=0.1160) 之间观察到微弱的正相关性.
- 28名受试者参加了这项研究.
结论:
- 视神经外皮直径 (ONSD) 与脑内出血 (ICH) 血瘤大小有中等的相关性.
- 通过超声波进行连续的ONSD测量可以提供一种非侵入性方法来监测ICH稳定性或膨胀.
- 这种技术可能有助于早期检测诸如脑等灾难性事件.
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