颅内压、眼内压、脑灌注压和动脉压动态相互作用的电模型

K. Charoensuk, T. Sethaput, I. Nilkhamhang
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引用次数: 2

摘要

在实例研究中,基于等效电模型研究了颅内压(ICP)、脑灌注压(CPP)、眼内压(IOP)、动脉压(ABP)和血流(BF)等系统的动力学行为。临床数据中的健康人群被用来研究这些行为。构建电阻-电容网络,模拟颅内压、视网膜血管内压、颅脑内压。此外,心脏ABP (85 - 120 mmHg)和椎内压(ISP) (50 - 60 mmHg)作为该模型的输入。结果显示,正常状态下颅内压为5 ~ 15mmhg,颅内压为20 ~ 35mmhg,颅内压为65 ~ 90mmhg。对于ABP的相位关系,CPP、IOP和ICP是同步的。ABP与BF之间的差相位为0.25 ~ 0.5秒,ABP波形超前于BF波形。通过无创测量的临床数据验证了模型的有效性。该模型清晰地解释了健康个体的ICP、CCP、IOP、ABP和BF之间的相互作用行为。
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Electrical Modeling of Dynamical Interaction among Intracranial Pressure, Intraocular Pressure, Cerebral Perfusion Pressure, and Arterial Blood Pressure
In case study, the dynamical behavior of various systems including intracranial pressure (ICP), cerebral perfusion pressure (CPP), intraocular pressure (IOP), arterial blood pressure (ABP), and blood flow (BF) are studied based on the equivalent electrical model. The healthy people from clinical data are used for study those behaviors. Resistor-Capacitance network is constructed to simulate ICP inside the skull, IOP of the retinal vessel, CPP in the skull. Moreover, ABP from the heart (85 - 120 mmHg) and Intraspinal Pressure (ISP) (50 - 60 mmHg) are applied as inputs to this model. The results show the value of ICP of normal state, IOP, and CPP in the skull are 5-15 mmHg, 20-35 mmHg, and 65-90 mmHg respectively. For the phase relationship among ABP, CPP, IOP, and ICP are synchronized. The differential phase between ABP and BF is 0.25 to 0.5 second where ABP waveform was leaded BF waveform. Our model is verified by clinical data from noninvasive measuring method. This model provides a clear explanation of the interaction behavior between ICP, CCP, IOP, ABP and BF of healthy individuals.
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