颅内压动力学仿真

The Simulation of Intracranial Pressure Dynamics

颅内压(Intracranial Pressure,ICP)研究在临床上有十分重要的意义。生理上由于内外多种原因会引起颅内压变化,而同时心搏、呼吸、以及神经调节等的影响也会使颅内压出现波动。本研究在动物(犬)实验结果的基础上,建立了反映颅内压变化的集中参数数学模型。模型中包括了脑血管床、脑脊液的生成和吸收、颅脑顺应性等模块以及这些模块之间的相互作用。脑血管顺应性是表征脑血管弹性程度的重要参量,仿真采用指数拟合的脑血管容积压力实验关系来表示脑血管顺应性。模型较好地模拟了颅内压动力学以及颅内压的波动,模型参数的变化和动物实验状况的变化相吻合,可以为临床颅内压监护及诊疗提供一定的参考。

Intracranial pressure (ICP) research has significant importance in clinic. There are many internal or external factors which cause the vibration of ICP, including heart beat, breath, neural regulation, and so on. A lumped parameter mathematical model of ICP dynamics is established based on animal (dogs) experiments. The model includes cerebrovascular bed, cerebrospinal fluid(CSF) formation and absorption, brain compliance, lumber cerebrospinal fluid, and interaction between these factors. Cerebrovascular compliance is an important parameter representing cerebrovascular elasticity, thus an exponential volume-pressure relationship is employed in this simulation to describe cerebrovascular compliance. The model well simulates intracranial pressure dynamics and the vibration of ICP when compared to animal experiments; the changes of parameters in simulation are consistent with animal experiments. Thus it can offer certain values for clinical ICP ward and diagnosis for reference.