小脑顶核电刺激对脑外伤患者脑血流速度和颅内压的影响.doc

小脑顶核电刺激对脑外伤患者
脑血流速度和颅内压的影响
作者:杨波关方霞张强宋来君刘书君陈喜中赵建英鲁国军张正勇李丽
单位:杨波张强宋来君(河南医科大学一附院神经外科,河南郑州 450052);关方霞(博士生,现在美国作博士后研究,New York 10461);刘书君陈喜中赵建英鲁国军张正勇李丽(新郑市人民医院,河南新郑 451150)
【关键词】小脑顶核;脑血流速度;经颅多普勒;颅内压;脑外伤
【摘要】目的探讨小脑顶核电刺激对脑外伤患者脑血流速度和颅内压的影响。方法选择20例脑外伤患者,其中7例行手术治疗。用小脑顶核电刺激方法对所有患者实施电刺激,应用经颅多普勒超声技术检测刺激前后大脑前、中、后动脉(ACA,MCA,PCA)血流速度。通过颅内压监护持续监测刺激前后颅内压的变化。结果实施刺激后10分钟,脑血流速度升高,20~30分钟达高峰。刺激前ACA,MCA,±,±±;±,±±;ACA和MCA的血流速度在刺激后明显升高( P< )。7例脑外伤患者小脑顶核电刺激前后颅内压无明显变化( P>)。结论小脑顶核电刺激后可明显提高脑外伤患者颅内血流速度,改善脑循环,对颅内压变化无明显影响。
【中图分类号】 【文献标识码】A
【文章编号】1003-2754(2000)03-0147-02
The effects of fastigial nucleus stimulation on cerebral blood flow velocity and intracranial pressure of patients with brain injury
YANG Bo,GUAN Fang-xia,ZHANG Qiang,et al.(Department of Neurosurgery,
1st Affiliated Hospital,Henan Medical University,Zhengzhou 450052,China)
Abstract:Objective To explore the effects of fastigial nucleus stimulation on cerebral blood flow velocity and intracranial pressure of patients with brain 20 patients with brain injury were studied,7 of them were treated by the patients were stimulated by fastigial nucleus stimulation (FNS). The blood flow velocities of anterior cerebral artery (ACA),middle cerebral artery(MCA),posterior cerebral artery(PCA) were measured by transc