Monitoring of the Effect of Cerebral Autoregulation on Delayed Cerebral Ischemia in Patients with Aneurysmal Subarachnoid Hemorrhage

被引：10

作者：

Liu, Guojing ^{[1
]}

Guo, Zongduo ^{[1
]}

Sun, Xiaochuan ^{[1
]}

Chai, WeiNa ^{[1
]}

Qi, Lingjun ^{[1
]}

Li, Hui ^{[1
]}

Zheng, Jianfeng ^{[1
]}

Guo, Tengyun ^{[1
]}

He, Zhaohui ^{[1
]}

Zhang, Xiaodong ^{[1
]}

Zhu, Ji ^{[1
]}

Luo, Yetao ^{[2
]}

机构：

[1] Chongqing Med Univ, Affiliated Hosp 1, Dept Neurosurg, Yuzhong Dist, Peoples R China

[2] Chongqing Med Univ, Sch Publ Hlth & Management, Dept Biostat, Yuzhong Dist, Peoples R China

来源：

WORLD NEUROSURGERY | 2018年 / 118卷

基金：

中国国家自然科学基金;

关键词：

Aneurysmal subarachnoid hemorrhage; Cerebral autoregulation; Delayed cerebral ischemia; Near-infrared spectroscopy; Regional cerebral oxygen saturation; NEAR-INFRARED SPECTROSCOPY; TRANSCRANIAL DOPPLER; BLOOD-FLOW; PREDICTION; OXYGENATION; PERFUSION; PRESSURE; SURGERY; RISK;

D O I：

10.1016/j.wneu.2018.06.170

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

OBJECTIVE: To detect cerebral autoregulation (CA) in patients with aneurysmal subarachnoid hemorrhage (aSAH) by near-infrared spectroscopy and to assess its association with delayed cerebral ischemia (DCI). METHODS: From January to August 2017, 81 patients (average age 53.25 +/- 10.27 years) were studied. Near-infrared spectroscopy was used to monitor CA, and associated factors were evaluated. Monitoring of CA was carried out at 5 time points (preoperative day 1 and postoperative days 1, 2, 3, and 7). Patients were sorted into 2 groups according to whether DCI occurred (DCI group and non-DCI group). The relationship between CA and DCI in patients with aSAH was analyzed. RESULTS: Among 81 patients, CA trended toward being impaired in patients with aSAH with a poorer grade. DCI occurred in 39 of 51 (48.15%) patients with impaired CA. DCI occurred in 6 of 30 (7.4%) patients with intact CA. CONCLUSIONS: Impaired CA monitored by near-infrared spectroscopy was shown in patients with aSAH before and after surgical intervention. Older age, smoking, hypertension, and especially impaired CA are independent risk factors for patients with DCI.

引用

页码：E269 / E275

页数：7

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