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新生儿脑血流速度的动态趋势监测

Dynamic trend monitoring of cerebral blood flow velocity in newborn infants.

作者信息

Myers T F, Patrinos M E, Muraskas J, Caldwell C C, Lambert G H, Anderson C L

出版信息

J Pediatr. 1987 Apr;110(4):611-6. doi: 10.1016/s0022-3476(87)80562-0.

DOI:10.1016/s0022-3476(87)80562-0
PMID:3559812
Abstract

A method for obtaining reproducible Doppler cerebral blood flow velocity (CBFV) measurements over several hours, utilizing a probe fixation technique and an on-line system for making beat-to-beat area under the curve (AUC) measurements, is described. Thirty heartbeat samples were collected at three time intervals over 3 hours in a group of 22 healthy preterm infants. The stability of the AUC measurements despite changes in behavioral state was demonstrated by randomized block ANOVA. The sampling error was +/- 6.92%, with 95% confidence intervals of +/- 13.1%. By facilitating reproducible serial measurements of CBFV, this trend monitoring technique encourages a dynamic view of cerebrovascular control, and may be used to probe central nervous system autoregulatory pathophysiology and to evaluate the effects of therapeutic interventions.

摘要

本文描述了一种在数小时内获得可重复的多普勒脑血流速度(CBFV)测量值的方法,该方法利用了探头固定技术和用于逐搏测量曲线下面积(AUC)的在线系统。在一组22名健康早产儿中,在3小时内以三个时间间隔采集了30个心跳样本。通过随机区组方差分析证明了尽管行为状态发生变化,AUC测量值仍具有稳定性。抽样误差为±6.92%,95%置信区间为±13.1%。通过促进CBFV的可重复连续测量,这种趋势监测技术有助于对脑血管控制形成动态认识,并可用于探究中枢神经系统自动调节病理生理学以及评估治疗干预的效果。

相似文献

1
Dynamic trend monitoring of cerebral blood flow velocity in newborn infants.新生儿脑血流速度的动态趋势监测
J Pediatr. 1987 Apr;110(4):611-6. doi: 10.1016/s0022-3476(87)80562-0.
2
Effects of central apnea on cerebral blood flow velocity in healthy term infants.中枢性呼吸暂停对健康足月儿脑血流速度的影响。
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Serial measurements of cerebral blood flow velocity in preterm infants during the first 72 hours of life.
Acta Paediatr Scand. 1988 Sep;77(5):625-31. doi: 10.1111/j.1651-2227.1988.tb10720.x.
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Dynamic cerebral autoregulation in sick newborn infants.患病新生儿的动态脑自动调节
Pediatr Res. 2000 Jul;48(1):12-7. doi: 10.1203/00006450-200007000-00005.
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Cerebral blood flow velocity patterns during cardiac surgery utilizing profound hypothermia with low-flow cardiopulmonary bypass or circulatory arrest in neonates and infants.在新生儿和婴儿心脏手术中,采用深度低温并结合低流量体外循环或循环停止时的脑血流速度模式。
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Neonatal cerebral blood flow velocity responses to changes in posture.新生儿脑血流速度对姿势变化的反应。
Arch Dis Child. 1993 Sep;69(3 Spec No):304-8. doi: 10.1136/adc.69.3_spec_no.304.
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Cyclical variations in cerebral blood flow velocity.脑血流速度的周期性变化。
Arch Dis Child. 1991 Jan;66(1 Spec No):12-6. doi: 10.1136/adc.66.1_spec_no.12.
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Umbilical artery catheter blood sampling alters cerebral blood flow velocity in preterm infants.
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Doppler-assessed cerebral blood flow velocity in the neonate as estimator of global cerebral blood volume flow measured using phase-contrast magnetic resonance angiography.采用相位对比磁共振血管造影术测量的新生儿大脑血流速度的多普勒评估与全球脑血流体积流量的估算。
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Assessment of dynamic cerebral autoregulation and cerebrovascular CO2 reactivity in ageing by measurements of cerebral blood flow and cortical oxygenation.评估大脑血流和皮质氧合来评估大脑自动调节和脑血管 CO2 反应性随年龄的变化。
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引用本文的文献

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NeoDoppler: New ultrasound technology for continous cerebral circulation monitoring in neonates.经颅多普勒:用于新生儿连续脑循环监测的新超声技术。
Pediatr Res. 2020 Jan;87(1):95-103. doi: 10.1038/s41390-019-0535-0. Epub 2019 Aug 12.
2
Acoustic power measurements of Doppler ultrasound devices used for perinatal and infant examinations.用于围产期和婴儿检查的多普勒超声设备的声功率测量。
Pediatr Radiol. 1990;20(4):277-81. doi: 10.1007/BF02019666.