重型创伤性脑损伤患者的多模态监测技术及其临床价值分析

Analysis of Multimodal Monitoring Techniques in Patients with Severe Traumatic Brain Injury and Their Clinical Value

摘要: 重型创伤性脑损伤涉及复杂的病理、生理机制，单一的监测手段不能获得完整的病理、生理信息。多模态监测从多角度观察患者受伤情况，能够更加清晰地显示脑损伤的程度变化，进而优化治疗方案，最终达到提高患者的生存率和改善神经功能恶化的目标。然而，现有技术的局限性及其在不同临床环境中的适用性仍然需要进一步探讨。本文综述了临床评估、影像学检查、颅内压监测、脑血流监测、脑氧监测、脑温监测、电生理监测、血清生物标志物监测等监测技术的临床应用。

Abstract: Severe traumatic brain injury involves complex pathological and physiological mechanisms, and a single monitoring means cannot obtain complete pathological and physiological information. Multimodal monitoring observes the patient’s injury from multiple perspectives, and can more clearly show the changes in the degree of brain injury, thereby optimising the treatment plan, and ultimately achieving the goal of increasing the patient’s survival rate and improving the deterioration of neurological function. However, the limitations of existing techniques and their applicability in different clinical settings still need to be further explored. This article reviews the clinical applications of monitoring techniques such as clinical assessment, imaging, intracranial pressure monitoring, cerebral blood flow monitoring, cerebral oxygen monitoring, cerebral temperature monitoring, electrophysiological monitoring, and serum biomarker monitoring.