中国胸心血管外科临床杂志

中国胸心血管外科临床杂志

脑氧饱和度监测在心胸外科手术中的应用进展

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近年来,利用近红外光谱技术的脑氧饱和度监测,由于其简便、灵敏、持续及无创特点,受到了广泛的关注和应用。最初在心脏手术中开展应用,在胸外科尤其是术中行单肺通气的手术中也具有监测价值。脑血氧饱和度下降在心胸外科手术中较为常见,研究发现术后认知功能障碍与术中脑氧饱和度下降有一定的相关性。本文将着重介绍脑氧饱和度监测仪的基本原理,回顾性总结该技术在心脏手术、胸科单肺通气手术中的应用进展及目前存在的问题。

Regional cerebral oxygen saturation cerebral oxygen saturation(rScO2) monitoring by using near-infrared spectroscopy(NIRS) is a simple, sensitive, continuous and noninvasive method, which can detect the change in oxygen supply and demand. It has already draw attentions and applications during perioperative in recent years. The technique was firstly used in cardiac surgery, thereafter some studies found thoracic surgery which mostly used one-lung ventilation also was necessary to monitor rScO2. A series of studies confirmed there were correlations among perioperative adverse events and rScO2. In this paper, we reviewed the basic principle of rScO2, summarized the applications of rScO2 in cardiac and thoracic surgery, discussed the existing problems.

关键词: 脑氧饱和度; 近红外光谱; 心脏手术; 胸科手术; 单肺通气

Key words: Cerebral oxygen saturation; near infrared spectroscopy; cardiac surgery; thoracic surgery; one-lung ventilation

引用本文: 李培艺, 魏蔚. 脑氧饱和度监测在心胸外科手术中的应用进展. 中国胸心血管外科临床杂志, 2017, 24(12): 988-993. doi: 10.7507/1007-4848.201605039 复制

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