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體位改變對(duì)健康人群視神經(jīng)鞘直徑的影響

發(fā)布時(shí)間:2018-05-06 03:07

  本文選題:超聲檢查 + 視神經(jīng)鞘 ; 參考:《廣東醫(yī)學(xué)》2017年22期


【摘要】:目的應(yīng)用超聲檢測(cè)健康成年人視神經(jīng)鞘直徑(ONSD),探討體位與ONSD是否存在相關(guān)性。方法通過在特倫德倫伯格臥位、仰臥位及反向特倫德倫伯格臥位進(jìn)行ONSD監(jiān)測(cè),分析受試對(duì)象雙側(cè)ONSD的差異性。結(jié)果不同性別、年齡之間ONSD差異無統(tǒng)計(jì)學(xué)意義(P0.05)。不同體質(zhì)指數(shù)(BMI)人群ONSD差異有統(tǒng)計(jì)學(xué)意義(P0.001)。在特倫德倫伯格臥位,眼球后3 mm的ONSD為(3.58±0.08)mm,在仰臥位ONSD為(3.62±0.10)mm,反向特倫德倫伯格臥位的ONSD為(3.57±0.12)mm,3種體位之間差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論在健康人群中,超聲檢測(cè)視神經(jīng)鞘直徑不會(huì)隨著體位而發(fā)生顯著改變。
[Abstract]:Objective to detect the diameter of optic nerve sheath (ONSD) in healthy adults by ultrasound and to investigate the correlation between postural position and ONSD. Methods the differences of bilateral ONSD were analyzed by ONSD monitoring in Trenderenberg's supine supine and reverse Trenderberg's recumbent position. Results there was no significant difference in ONSD between sex and age (P 0.05). The difference of ONSD in different BMI groups was statistically significant (P 0.001). The ONSD of 3 mm behind the eyeball was 3.58 鹵0.08 mm in Trenderberg's supine position, and 3.62 鹵0.10 mm in supine position, while the ONSD in reverse trunderberg's position was 3.57 鹵0.12 mm. There was no significant difference among the three postures (P 0.05). Conclusion in healthy population, the diameter of optic nerve sheath measured by ultrasound does not change significantly with posture.
【作者單位】: 南通市第一人民醫(yī)院急診科;南通市第一人民醫(yī)院神經(jīng)外科;南通市第一人民醫(yī)院ICU;
【分類號(hào)】:R445.1;R742
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本文編號(hào):1850496

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