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World neurosurgery 首次颅内压监测还是首次手术: 哪种更好?
影响因子:2.21 DOI:10.1016/j.wneu.2019.08.166
作者: Fu P,Yuan Q,Lv K,Hu J 发表时间:2020-07-10 14:30:39
keywords: Fu PYuan QLv KHu J
关键词: 脑挫伤 颅内压监测 倾向评分匹配 颅脑损伤
Abstract
BACKGROUND:For patients with TBI, traditional methods such as clinical examination and imaging data are the primary references used for deciding whether to operate or not. Intracranial pressure (ICP) monitoring based on lateral ventricles or parenchymal pressure is a more direct reflection of ICP. However, the research on whether the outcome results of ICP monitoring are better than results based on clinical signs and imaging is sparse. Therefore, we compared treatment results for patients with TBI based on ICP monitoring and traditional methods. METHODS:This retrospective study included patients with TBI admitted to our collaborative hospitals between January 1, 2012, and December 31, 2013. All patients enrolled were divided into a traditional methods group and ICP monitoring group. Follow-up treatment was determined by ICP monitoring value or traditional methods in the 2 groups. Propensity matching scores were used to ensure that baseline characteristics of patients in the 2 groups were consistent. RESULTS:A significant association was found between the initial ICP value and neurologic deterioration (odds ratio 1.24; P < 0.001), and nonlinear correlation achieved the best fit (R2 = 0.547). Both 6-month good recovery rate and favorable outcome rate were higher in the ICP monitoring group than the traditional methods group by propensity score analysis (P < 0.05). CONCLUSIONS:For patients with TBI with cerebral contusion volume >20 mL, both 6-month good recovery rate and favorable outcome rate were significantly higher in the ICP monitoring group than the traditional methods group.
摘 要
背景: 对于TBI患者,临床检查和影像学资料等传统方法是决定是否手术的主要参考依据。基于侧脑室或实质压的颅内压 (ICP) 监测是ICP的更直接的反映。然而,关于ICP监测的结局结果是否优于基于临床体征和影像学的结果的研究较少。因此,我们比较了基于ICP监测和传统方法的TBI患者的治疗结果。 方法: 本回顾性研究纳入了我们协作医院 2012 年 1 月 1 日至 20 13 年 12 月 31 日期间收治的TBI患者。所有入组患者分为传统方法组和ICP监测组。通过ICP监测值或传统方法对 2 组患者进行随访治疗。使用倾向匹配评分来确保 2 组患者的基线特征一致。 结果: 发现初始ICP值与神经功能恶化之间存在显著相关性 (比值比 1.24; P <0.001),非线性相关性达到最佳拟合 (R2 = 0.547)。经倾向评分分析,ICP监测组 6 个月良好治愈率和良好结局率均高于传统方法组 (P <0.05)。 结论: 对于脑挫裂伤体积> 20 mL的TBI患者,ICP监测组 6 个月的良好治愈率和良好结局率均显著高于传统方法组。
期刊介绍
《World Neurosurgery》 (点击进入期刊详情)
英文简介 : World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal's mission is to: To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS
中文简介 : (来自Google、百度翻译) 《世界神经外科》拥有开放获取的镜像期刊《世界神经外科:X》,目标和范围相同,编辑团队、投稿系统和严格的同行评审。 《华尔街日报》的使命是: 为神经外科医生和护理神经外科患者的提供者提供一流的国际论坛和双向对话渠道。交换信息的类别包括临床和基础科学,以及提供社会、政治、教育、经济、文化或社会见解和知识的全球信息,这些见解和知识对全球神经外科患者的护理具有重要意义和相关性。 作为激发创造力、创造新知识和提高全球神经外科护理质量的主要智力催化剂。 提供一个交流的论坛,丰富所有神经外科医生及其同事的生活;通过这样做,他们的病人的生活变得丰富多彩。 世界神经外科的主题包括:教育、经济学、研究、政治、历史、文化、临床科学、实验室科学、技术、手术技术、临床图像、视频
CIRCULATION RESEARCH 期刊中科院评价数据
新中科院分区
大类(学科) 小类(学科) 学科排名
医学

CLINICAL NEUROLOGY (临床神经病学)

SURGERY (外科)

139/197
95/200
新发布的期刊年发文量
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1637 1418 219

总被引频次 :10159

特征因子 : 0.023420

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