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首页> 外文期刊>Italian journal of pediatrics >Evaluation of the relationship between NIRS (near-infrared spectroscopy) and optic nerve sheath diameter measurement in children with increased intracranial pressure: a pilot study
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Evaluation of the relationship between NIRS (near-infrared spectroscopy) and optic nerve sheath diameter measurement in children with increased intracranial pressure: a pilot study

机译：颅内压增加的儿童鼻腔（近红外光谱学）与视神经鞘直径测量的关系评价：试验研究

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The increased intracranial pressure (ICP) syndrome may emerge depending on many different neurological factors and the early diagnosis and treatment are important for the prevention of neurologic damage and related mortality. In recent years, the follow-up of increased ICP with non-invasive methods has been rising. In this study, our objective was to determine the significance and any possible correlation between Optic Nerve Sheath Diameter (ONSD) and Near Infrared Spectroscopy (NIRS) in children with increased ICP. Patients who were hospitalized in our pediatric ICU at ?ukurova University Medical Faculty between June 2018 and June 2019 due to the suspicion of increased ICP were included in this study. The demographic characteristics of patients, diagnosis at admission, results of the cranial CT and MRI examinations, and results of the simultaneous ONSD and NIRS measurements were recorded. A total of 36 patients were included in our study. With respect to the diagnosis, non-traumatic causes were at the forefront in 30 patients (83.3%), and the most common causes were meningoencephalitis (n?=?9; 25%) and non-traumatic bleeding (n?=?7; 19.4%). Six of the patients were under the age of one year (16.7%), and the mean values of ONSD and NIRS were 4.8?±?0.7?mm and 71.1?±?12.4% respectively in this group. Fourteen patients were in the one to ten year age group and the mean values of ONSD and NIRS were 6.1?±?0.6?mm and 72.7?±?9.3% respectively. Sixteen patients were over ten years of age (44.4%), and the mean values of ONSD and NIRS were 5.6?±?0.7?mm and 74.2?±?16% respectively. There was no correlation between the ONSD and NIRS values (r:0.307; p?=?0.068). Our study showed that ONSD measurements were helpful in children with increased ICP and reflected the increase in ICP. However, our study also demonstrated that ONSD was not in correlation with the NIRS monitoring. We believe that there is a need for further studies focused on the use of ONSD and NIRS in the monitoring of increased ICP.
机译：增加的颅内压（ICP）综合征可能根据​​许多不同的神经因素而出现，早期诊断和治疗对于预防神经损伤和相关死亡率是重要的。近年来，具有非侵入方法的增加的ICP的后续行动一直在上升。在这项研究中，我们的目的是确定有ICP增加的儿童视神经鞘直径（ONSD）和近红外光谱（NIRS）之间的意义和任何可能的相关性。在我们的儿科ICU住院的患者2018年6月至2019年6月至2019年6月期间，由于暂停了ICP，本研究涉及增加。记录了患者的人口统计学特性，入院诊断，颅脑CT和MRI检查的结果以及同时持续OSD和NIRS测量的结果。我们的研究中共有36名患者。关于诊断，非创伤原因是在30名患者的最前沿（83.3％），最常见的原因是脑膜炎（N？= 9; 25％）和非创伤性出血（n？=？7 ; 19.4％）。六名患者未满一年（16.7％），ONSD和NIR的平均值为4.8？±0.7Ωmm和71.1？±12.4％。十四名患者在一至十年龄段中，持续的ONSD和NIR的平均值为6.1？±0.6？mm和72.7？±9.3％。十六名患者超过十岁（44.4％），INSD和NIR的平均值为5.6？±0.7？mm和74.2？±16％。 ONSD和NIRS值之间没有相关性（R：0.307; P？= 0.068）。我们的研究表明，INSD测量有助于ICP增加的儿童，并反映了ICP的增加。但是，我们的研究还表明，ONSD与NIR监测没有相关性。我们认为，需要进一步研究在监测ICP的监测中使用ONSD和NIR。

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