PDF(Pubmed)
Abstract：
UNASSIGNED: This study aimed to assess the impact of multimodal monitoring on predicting the prognosis of patients with spontaneous intracerebral hemorrhage (SICH) and to examine the feasibility of using noninvasive near-infrared spectroscopy (NIRS) for monitoring clinical prognosis.
UNASSIGNED: Clinical data of 38 patients with SICH who underwent surgery in the Department of Neurosurgery of Shaanxi Provincial People\'s Hospital from May 2022 to December 2022 were retrospectively analyzed. The patients were categorized into two groups based on the Glasgow Outcome Scale (GOS) 3 months after operation: poor outcome group (GOSI-III) and good outcome group (GOSIV and V). Multimodal monitoring included invasive intracranial pressure (ICP), brain temperature (BT), internal jugular venous oxygen saturation (SjvO2), and noninvasive NIRS. NIRS monitoring comprised the assessment of brain tissue oxygen saturation (StO2), blood volume index (BVI), and tissue hemoglobin index (THI). The prognostic differences between the two groups were compared. The predictive values were evaluated using the receiver operating characteristic (ROC) curve and the area under the curve (AUC).
UNASSIGNED: ICP, BT, BVI, and THI in the good prognosis group were lower than those in the poor prognosis group. The SjvO2 and StO2 in the group with a good prognosis were higher than those in the group with a poor prognosis.
UNASSIGNED: The levels of ICP, BT, SjvO2, StO2, BVI, and THI reflect the changes in brain function and cerebral blood flow and significantly correlate with the prognosis of patients with SICH. NIRS monitoring has a high clinical utility in assessing the prognosis.
UNASSIGNED: Clinical data of 38 patients with SICH who underwent surgery in the Department of Neurosurgery of Shaanxi Provincial People\'s Hospital from May 2022 to December 2022 were retrospectively analyzed. The patients were categorized into two groups based on the Glasgow Outcome Scale (GOS) 3 months after operation: poor outcome group (GOSI-III) and good outcome group (GOSIV and V). Multimodal monitoring included invasive intracranial pressure (ICP), brain temperature (BT), internal jugular venous oxygen saturation (SjvO2), and noninvasive NIRS. NIRS monitoring comprised the assessment of brain tissue oxygen saturation (StO2), blood volume index (BVI), and tissue hemoglobin index (THI). The prognostic differences between the two groups were compared. The predictive values were evaluated using the receiver operating characteristic (ROC) curve and the area under the curve (AUC).
UNASSIGNED: ICP, BT, BVI, and THI in the good prognosis group were lower than those in the poor prognosis group. The SjvO2 and StO2 in the group with a good prognosis were higher than those in the group with a poor prognosis.
UNASSIGNED: The levels of ICP, BT, SjvO2, StO2, BVI, and THI reflect the changes in brain function and cerebral blood flow and significantly correlate with the prognosis of patients with SICH. NIRS monitoring has a high clinical utility in assessing the prognosis.
摘要：
■本研究旨在评估多模式监测对预测自发性脑出血（SICH）患者预后的影响，并探讨使用无创近红外光谱（NIRS）监测临床预后的可行性。回顾性分析
■2022年5月至2022年12月陕西省人民医院神经外科收治的38例SICH患者的临床资料。术后3个月根据格拉斯哥预后量表（GOS）将患者分为两组：预后不良组（GOSI-III）和预后良好组（GOSIV和V）。多模式监测包括有创颅内压（ICP），大脑温度（BT），颈内静脉血氧饱和度（SjvO2），和非侵入性NIRS。NIRS监测包括评估脑组织氧饱和度（StO2），血容量指数（BVI），和组织血红蛋白指数（THI）。比较两组患者的预后差异。使用受试者工作特征(ROC)曲线和曲线下面积(AUC)评估预测值。
■ICP，BT,BVI,预后良好组的THI低于预后不良组。预后良好组的SjvO2和StO2高于预后不良组。
■ICP的水平，BT,SjvO2，StO2，BVI，和THI反映了SICH患者脑功能和脑血流量的变化，并与预后显着相关。NIRS监测在评估预后方面具有很高的临床实用性。
■2022年5月至2022年12月陕西省人民医院神经外科收治的38例SICH患者的临床资料。术后3个月根据格拉斯哥预后量表（GOS）将患者分为两组：预后不良组（GOSI-III）和预后良好组（GOSIV和V）。多模式监测包括有创颅内压（ICP），大脑温度（BT），颈内静脉血氧饱和度（SjvO2），和非侵入性NIRS。NIRS监测包括评估脑组织氧饱和度（StO2），血容量指数（BVI），和组织血红蛋白指数（THI）。比较两组患者的预后差异。使用受试者工作特征(ROC)曲线和曲线下面积(AUC)评估预测值。
■ICP，BT,BVI,预后良好组的THI低于预后不良组。预后良好组的SjvO2和StO2高于预后不良组。
■ICP的水平，BT,SjvO2，StO2，BVI，和THI反映了SICH患者脑功能和脑血流量的变化，并与预后显着相关。NIRS监测在评估预后方面具有很高的临床实用性。
