Non-invasive Monitoring and Serum Marker Study in Children With Cerebral Edema
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 264
- 主要终点
- Serum MMP-9 concentration
研究概览
简要总结
Purpose of the study:This study aimed to evaluate the clinical significance of serum SUR1, TRPM4 and MMP-9 in the diagnosis of cerebral edema in children with cerebral edema admitted to PICU by comparing them with CT results and perturbation coefficients, so as to provide biological indicators for clinical diagnosis of cerebral edema and provide targets for the treatment of cerebral edema in various diseases.
详细描述
Early and efficient use of various measures to control and monitor peripheral cerebral edema and intracranial pressure, timely and accurate adjustment of treatment plan to reduce the degree of cerebral edema and reduce intracranial pressure, can significantly improve the development of the disease and prognosis recovery. At present, the clinical diagnosis of cerebral edema is mainly through clinical manifestations and imaging examinations, and there is a lack of corresponding biological examination methods.Purpose of the study:1.By analyzing the correlation between serum SUR1, TRPM4, MMP-9 and the electromagnetic disturbance coefficient, cranial CT results, Glasgow coma score, S100-β, NSE and prognostic score at 3 months of discharge, the clinical value of serum SUR1, TRPM4, MMP-9 and perturbation coefficient in the diagnosis, intracranial pressure monitoring, condition assessment and prognosis judgment of cerebral edema in children was explored.2.By analyzing the changes of the above indicators in various children with cerebral edema admitted to PICU, the types of cerebral edema and the cellular and molecular mechanisms of cerebral edema caused by different diseases were explored.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 12 Months 至 18 Years(Child, Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age 1-18 years old, male or female
- •Diagnosed with cerebral contusion/cerebral hemorrhage/intracranial tumor postoperative / intracranial infection/septic encephalopathy/metabolic encephalopathy.
- •The research purpose, significance, risks, benefits, and informed consent of patients and their families to the study.
排除标准
- •Critically ill and not suitable for research.
- •Those who are allergic to electrode sheets and do not cooperate.
- •Age> 18 years old or < 1 month.
- •Failure to obtain written permission from the guardian.
结局指标
主要结局
Serum MMP-9 concentration
时间窗: On days 1, 4, 7, and 14 of enrollment
Serum TRPM4 concentration
时间窗: On days 1, 4, 7, and 14 of enrollment
Perturbation coefficient monitored by noninvasive cerebral edema monitor
时间窗: On days 1, 4, 7, and 14 of enrollment
Serum SUR1 concentration
时间窗: On days 1, 4, 7, and 14 of enrollment
Area of cerebral edema as shown on cranial CT
时间窗: Day 1 of admission
次要结局
未报告次要终点
