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中华脑血管病杂志(电子版) ›› 2020, Vol. 14 ›› Issue (05) : 264 -267. doi: 10.11817/j.issn.1673-9248.2020.05.003

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局部脑氧饱和度监测在心脑血管手术中预防脑缺血的研究进展
李刚1, 李民1,()   
  1. 1. 100191 北京大学第三医院麻醉科
  • 收稿日期:2020-02-20 出版日期:2020-10-01
  • 通信作者: 李民
  • 基金资助:
    北京大学第三医院回国人员启动基金(Y78496-01)

Progress of regional cerebral oxygen saturation monitoring in the prevention of cerebral ischemia during cardiocerebrovascular surgery

Gang Li1, Min Li1,()   

  1. 1. Department of Anesthesiology, Peking University Third Hospital, Beijing 100191, China
  • Received:2020-02-20 Published:2020-10-01
  • Corresponding author: Min Li
  • About author:
    Corresponding author: Li Min, Email:
引用本文:

李刚, 李民. 局部脑氧饱和度监测在心脑血管手术中预防脑缺血的研究进展[J/OL]. 中华脑血管病杂志(电子版), 2020, 14(05): 264-267.

Gang Li, Min Li. Progress of regional cerebral oxygen saturation monitoring in the prevention of cerebral ischemia during cardiocerebrovascular surgery[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2020, 14(05): 264-267.

心脑血管手术数量和技术的迅猛发展对心脑血管手术麻醉提出了更高的要求和更新的挑战。脑灌注不足已成为影响心脑血管手术预后的重要危险因素。近年来,近红外线光谱技术(NIRS)作为目前唯一的无创脑氧监测技术,因具有无创、连续、灵敏、实时的优点,在心脑血管手术等领域得到广泛应用。通过检测人局部脑组织氧饱和度(rScO2),评估脑部氧的供需平衡状况和脑血流量变化情况,有助于优化围手术期管理,降低术后脑卒中等中枢神经系统并发症发生率、缩短住院时间、改善患者预后。本文就NIRS监测脑氧饱和度的基本原理、正常值与临床意义、心脑血管手术中的临床应用及其对患者围手术期脑缺血的预测价值等方面进行综述。

Both the recent surge in the number and the rapid development of technology of cardio-cerebrovascular surgery put forward higher requirements and newer challenges to the anesthesia of cardio-cerebrovascular surgery. Cerebral hypoperfusion has become an important risk factor for the prognosis of cardio-cerebrovascular surgery. In recent years, near infrared spectroscopy (NIRS), as the only noninvasive brain oxygen monitoring technology at present, has been widely used due to its advantages of being noninvasive, continuous, sensitive, and real-time. By detecting regional cerebral oxygen saturation (rScO2), we can evaluate the balance of brain oxygen supply and demand, optimize perioperative management, reduce the incidence of postoperative neurological complications such as stroke, shorten in-patient stay and improve the prognosis of patients. In this article, we review the fundamental principles, normal value and clinical significance of monitoring cerebral oxygen saturation by NIRS, the clinical application in cardio-cerebrovascular surgery and the predictive value in postoperative cerebral ischemia.

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