Department of Neurocritical Care, The National Hospital for Neurology and Neurosurgery, University College London Hospitals, Queen Square, London, UK.
Curr Opin Anaesthesiol. 2010 Oct;23(5):576-81. doi: 10.1097/aco.0b013e32833e1536.
There is increasing interest in the application of near infrared spectroscopy (NIRS) as a noninvasive monitor of cerebral oxygenation. This review will briefly describe the principles of NIRS and examine current evidence for its clinical application as a monitor of the adequacy of cerebral oxygenation in adults.
There has been a recent surge of interest in the clinical application of NIRS following studies that have quantified the benefits of NIRS-guided management of cerebral oxygenation during cardiopulmonary bypass. However, there are limited data to support its widespread application in other clinical scenarios. New NIRS systems are being introduced to the market and technological advancements have improved their accuracy and extended the range of variables measured.
NIRS offers noninvasive monitoring of cerebral oxygenation over multiple regions of interest in a wide range of clinical scenarios. It has many potential advantages over other neuromonitoring techniques, but further technological advances are necessary before it can be introduced more widely into clinical practice.
近红外光谱（NIRS）作为一种非侵入性脑氧监测手段，其应用日益受到关注。本综述将简要描述 NIRS 的原理，并探讨其在成人脑氧合充足性监测方面的临床应用的现有证据。
在心肺转流期间，NIRS 指导脑氧合管理的获益被量化的研究之后，NIRS 的临床应用受到了极大的关注。然而，在其他临床情况下，支持其广泛应用的证据有限。新的 NIRS 系统已被引入市场，技术进步提高了它们的准确性并扩展了可测量的变量范围。
NIRS 可在多种临床情况下对多个感兴趣区域进行非侵入性脑氧监测。与其他神经监测技术相比，它具有许多潜在优势，但在更广泛地引入临床实践之前，还需要进一步的技术进步。
