新生儿复苏期间极低出生体重儿的脑氧监测。
Brain oxygenation monitoring during neonatal resuscitation of very low birth weight infants.
机构信息
Division of Neonatology and Pediatric Intensive Care, Department of Pediatrics, University Medical Center Ulm, Ulm, Germany.
出版信息
J Perinatol. 2012 May;32(5):356-62. doi: 10.1038/jp.2011.110. Epub 2011 Aug 18.
OBJECTIVE
To explore if regional cerebral tissue oxygen saturation monitoring by near-infrared spectroscopy (NIRS) is feasible during neonatal resuscitation of very low birth weight (VLBW) infants after birth.
STUDY DESIGN
Cerebral tissue oxygen saturation was measured by NIRS in 51 VLBW infants (mean gestational age: 27.8 weeks) during the first 10 min after delivery.
RESULT
A regional cerebral tissue oxygen saturation signal was available after a median (interquartile range) age of 52 (44 to 68) s. In three infants the signal was obtained after 10 min of age. After delivery cerebral tissue oxygen saturation rose continuously from 37 (31 to 49) % at 1 minute of age and reached a steady state in the range of 61 to 84% ∼7 min after birth. Percentiles of cerebral tissue oxygen saturation of this cohort of preterm infants are given.
CONCLUSION
Cerebral tissue oxygen saturation monitoring is feasible during neonatal resuscitation of VLBW infants within the first minutes of life.
目的
探讨近红外光谱（NIRS）监测新生儿极低出生体重（VLBW）儿复苏后脑组织氧饱和度是否可行。
研究设计
对 51 例 VLBW 儿（平均胎龄：27.8 周）在出生后 10 分钟内进行 NIRS 测量脑组织氧饱和度。
结果
中位（四分位间距）年龄为 52（44 至 68）s 后获得区域性脑组织氧饱和度信号。有 3 例患儿在 10 分钟龄时获得信号。出生后，脑组织氧饱和度从 1 分钟龄时的 37%（31%至 49%）持续升高，在出生后约 7 分钟时达到 61%至 84%的稳定状态。本队列早产儿的脑组织氧饱和度百分位数也给出了。
结论
在 VLBW 儿出生后的最初几分钟内，NIRS 监测脑组织氧饱和度是可行的。
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