Progression of intracranial pressure in patients with traumatic brain injury based on TCD cerebral blood flow spectrum

doi:10.3877/cma.j.issn.2095-9141.2020.01.013

Abstract

Abstract:

Transcranial doppler (TCD) can dynamically and non-invasively monitor and evaluate cerebral hemodynamic changes, and intracranial pressure (ICP) is an important indicator for assessing the intracranial condition of patients with traumatic brain injury. In clinical work, an accurate and convenient non-invasive ICP monitoring method has been being explored. Because TCD has the advantages of non-invasive, low-cost and quick at the bedside, and the detection of cerebral blood flow spectrum by TCD can also indirectly evaluate ICP changes. This is great significance for clinical guidance of treatment. Now this article combines domestic and foreign research, and combines ICP monitoring technology and TCD technology, the formula and method of establishing ICP evaluation model based on pulsatility index in the previous literature are integrated, and the research progress of TCD cerebral blood flow spectrum evaluation ICP is reviewed.

Key words: Transcranial doppler, Traumatic brain injury, Intracranial pressure

Shuai Han, Wenchen Li, Haifeng Wang, Li Bie. Progression of intracranial pressure in patients with traumatic brain injury based on TCD cerebral blood flow spectrum[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2020, 06(01): 53-56.

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References 28

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样本	比较参数	ICP监测方法	样本量	ICP和PI关系		参考文献
样本	比较参数	ICP监测方法	样本量	R	参考条件	参考文献
TBI	ICP vs nICP	硬膜下	41	0.90	无	[3]
TBI	ICP vs nICP	硬膜外	10	0.82	无	[4]
TBI	ICP vs nICP	脑室/脑实质	125	?	增高	[23]
TBI	ICP vs nICP	脑室	81	0.94	ICP=10.93×PI-1.28	[22]
TBI	ICP vs nICP	脑室	81	0.73	ICP=11.50×PI-2.23	[22]
TBI	ICP vs nICP	脑实质	37	0.64	无	[24]
TBI	ICP vs nICP	脑实质	37	0.82	ICP（≥20 mmHg)	[24]
TBI	ICP vs nICP	脑室内	45	?	ICP=10.93×PI-1.28	[25]
TBI	ICP vs nICP	脑室内	45	?	ICP=11.50×PI-2.23	[25]
TBI	ICP vs nICP	脑实质	292	?	ICP=4.47×PI+12.68	[10]
TBI	ICP vs nICP	脑实质	290	0.31	无	[26]
TBI	ICP vs nICP	脑实质	345	0.70	无	[27]
TBI	ICP vs nICP	脑实质	40	0.15	无	[21]
TBI	ICP vs nICP	脑实质	117	?	PI≥1.31	[5]
TBI	ICP vs nICP	脑室/脑实质	36	0.60	PI≥1.31, ≥20 mmHg（伤后24 h内）	[6]
TBI	ICP vs nICP	脑室/脑实质	36	0.38	PI≥1.31, ≥20 mmHg（伤后超过24 h）	[6]

样本	比较参数	ICP监测方法	样本量	ICP和PI关系		参考文献
样本	比较参数	ICP监测方法	样本量	R	参考条件	参考文献
TBI	ICP vs nICP	硬膜下	41	0.90	无	[3]
TBI	ICP vs nICP	硬膜外	10	0.82	无	[4]
TBI	ICP vs nICP	脑室/脑实质	125	?	增高	[23]
TBI	ICP vs nICP	脑室	81	0.94	ICP=10.93×PI-1.28	[22]
TBI	ICP vs nICP	脑室	81	0.73	ICP=11.50×PI-2.23	[22]
TBI	ICP vs nICP	脑实质	37	0.64	无	[24]
TBI	ICP vs nICP	脑实质	37	0.82	ICP（≥20 mmHg)	[24]
TBI	ICP vs nICP	脑室内	45	?	ICP=10.93×PI-1.28	[25]
TBI	ICP vs nICP	脑室内	45	?	ICP=11.50×PI-2.23	[25]
TBI	ICP vs nICP	脑实质	292	?	ICP=4.47×PI+12.68	[10]
TBI	ICP vs nICP	脑实质	290	0.31	无	[26]
TBI	ICP vs nICP	脑实质	345	0.70	无	[27]
TBI	ICP vs nICP	脑实质	40	0.15	无	[21]
TBI	ICP vs nICP	脑实质	117	?	PI≥1.31	[5]
TBI	ICP vs nICP	脑室/脑实质	36	0.60	PI≥1.31, ≥20 mmHg（伤后24 h内）	[6]
TBI	ICP vs nICP	脑室/脑实质	36	0.38	PI≥1.31, ≥20 mmHg（伤后超过24 h）	[6]

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