北京生物醫(yī)學(xué)工程

應(yīng)急救援下無創(chuàng)腦水腫監(jiān)測儀電極快速固定裝置的設(shè)計(jì)及應(yīng)用

Design and application of rapid fixation device for non-invasive brain edema monitor electrode under emergency rescue

作者：劉偉麗劉宇佳姚欣樊雙義

單位：中國人民解放軍總醫(yī)院第五醫(yī)學(xué)中心神經(jīng)內(nèi)科(北京100071)

關(guān)鍵詞：應(yīng)急救援；無創(chuàng)腦水腫監(jiān)測；快速固定裝置

分類號(hào)：R318

出版年·卷·期（頁碼）：2021·40·2（185-189）

摘要：

目的自行設(shè)計(jì)了無創(chuàng)腦水腫快速固定裝置，并應(yīng)用于臨床。方法選取2019年3月—2020年2月在解放軍總醫(yī)院第五醫(yī)學(xué)中心神經(jīng)內(nèi)科的104例腦水腫患者，應(yīng)用隨機(jī)數(shù)字表法將患者隨機(jī)分為觀察組（52人）和對(duì)照組（52人），觀察組實(shí)施自行設(shè)計(jì)的快速電極固定裝置進(jìn)行監(jiān)測，對(duì)照組實(shí)施常規(guī)電極固定方法監(jiān)測，總結(jié)分析兩組監(jiān)測的效果。結(jié)果觀察組操作時(shí)間明顯短于對(duì)照組，電極移位、脫落情況、滿意度及患者舒適度明顯優(yōu)于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P＜0.05）。結(jié)論應(yīng)急救援下無創(chuàng)腦水腫監(jiān)測儀電極快速固定裝置大大縮短操作時(shí)間，確保電極固定牢固，不易脫落，患者滿意度及舒適度明顯提高，為應(yīng)急救援下快速監(jiān)測贏得了寶貴的時(shí)間。

Objective To design a rapid fixation device for cerebral edema and apply it in clinical practice. Methods A total of 104 patients with cerebral edema from March 2019 to February 2020 were selected and randomly divided into observation group (n=52) and control group (n=52) by random number table. The observation group was monitored by self-designed rapid electrode fixation device, while the control group was monitored by conventional electrode fixation method. The monitoring effects of the two groups were summarized and analyzed. Results The operation time of the observation group was significantly better than that of the control group. The electrode displacement, detachment, satisfaction and patient comfort of the observation group were significantly better than those of the control group. The differences were statistically significant (P < 0.05). Conclusions The rapid fixation device of brain edema monitor electrode in emergency rescue can greatly shorten the operation time, ensure that the electrode is firmly fixed, not easy to fall off, and significantly improve the patient satisfaction and comfort, which gains valuable time for rapid monitoring under emergency rescue.

參考文獻(xiàn)：

[1] Takahashi N,?Satou C,?Higuchi T,?et al.?Quantitative analysis of brain edema and swelling on early postmortem computed tomography:?com-parison with antemortem computed tomography[J].Japanese Journal of Radiology,?2010,?28(5):?349-354.

[2] Poveda MJ,?Bernabeu A, Concepción L,?et al.?Brain edema dynamics in patients with overt hepatic encephalopathy A magnetic resonance imaging study[J]. Neuroimage,?2010,52(2):481-487.

[3] Delso G,?Martinez-M?ller A,?Bundschuh RA,?et al.Evaluation of the attenuation properties of MR equipment for its use in a whole-body PET/MR scanner[J].Physics in Medicine and Biology,2010,55(15):4361-4374.

[4] 姚乃修，祁航，徐燁，等.腦水腫治療進(jìn)展[J].海南醫(yī)學(xué)，2009，20(11):?291-294.

[5] 龐劍飛，徐海峰，南山，等. 一種適用于腦卒中急救場景的移動(dòng)智能核查清單系統(tǒng)及其應(yīng)用[J]. 北京生物醫(yī)學(xué)工程，2020，39(2):169-178.

Pang JF,?Xu HF,?Nan S, et al.?A mobile intelligent checklist system suitable for stroke recovery scenarios and its application [J].Beijing Biomedical Engineering, 2020，39(2):?169-178.

[6] 劉偉麗，吳婉璐，姚欣，等.無創(chuàng)顱內(nèi)壓監(jiān)測在腦水腫患者中的應(yīng)用[J].軍事醫(yī)學(xué)，2018，42（1）:79-80.

[7]中國人民解放軍總醫(yī)院第五醫(yī)學(xué)中心.一種快速連接固定裝置：中國，210902975U[P].?2020-07-03.

[8] 鄭芹，許開云，李麗，等.標(biāo)準(zhǔn)化救治流程在護(hù)理應(yīng)急救援隊(duì)海戰(zhàn)傷現(xiàn)場救護(hù)技能培訓(xùn)中的應(yīng)用[J].解放軍護(hù)理雜志，2019，36(9):?89-92.

Zheng Q, Xu KY, Li L, et al. Standardized rescue process in treating the on-site rescue skills of nursing emergency rescue team for naval combat wound[J]. Nursing Journal of Chinese People's Liberation Army, 2019,36(9): 89-92.

[9]胡新宇，劉秀紅，汪超，等.干式吸氧在短期中低流量吸氧患者中的應(yīng)用效果[J].解放軍護(hù)理雜志，2019，36（6）:90-92.

?Hu XY,?Liu XH,?Wang C,?et al.?Effect of dry oxygen absorption?in short-term patients with?medium and low?flow oxygen absorption [J].?Nursing Journal?of Chinese People’s Liberation Army, 2019,?36(6):?90-92.

[10]黎秀銀,張素芬,黎亦和. 不同電極固定方法在新生兒長程錄像腦電圖監(jiān)測中的應(yīng)用對(duì)比[J].中國醫(yī)學(xué)創(chuàng)新, 2019,16(10):161-164.

Li XY,?Zhang SF,?Li?YH. Comparison of different electrode fixation methods in the monitoring of neonatal long-term video EEG[J]. Medical Innovation?of China?, 2019,16(10):161-164.

[11] 劉永凱，孫珅，史文飛，等.一種基于可穿戴設(shè)備和智能手機(jī)的呼吸監(jiān)測系統(tǒng)[J]. 北京生物醫(yī)學(xué)工程,2019,38(4):?417-423.

Liu YK,?Sun S,?Shi WF,?et al.?A respiratory monitoring system based on wearable devices and smart phones[J].Beijing Biomedical Engineering,2019,38(4):?417-423.

服務(wù)與反饋：

【文章下載】【加入收藏】

提示：您還未登錄，請(qǐng)登錄！點(diǎn)此登錄

51黑料吃瓜在线观看,51黑料官网|51黑料捷克街头搭讪_51黑料入口最新视频