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[神经重症监护中的近红外光谱监测]

[Near infrared spectroscopy monitoring in the neurointensive care].

作者信息

Francony G, Bouzat P, Payen J-F

机构信息

Pôle anesthésie-réanimation, hôpital Michallon, BP 217, 38043 Grenoble cedex 09, France.

出版信息

Ann Fr Anesth Reanim. 2012 Jun;31(6):e133-6. doi: 10.1016/j.annfar.2012.04.017. Epub 2012 Jun 7.

DOI:10.1016/j.annfar.2012.04.017
PMID:22683164
Abstract

Near infrared spectroscopy (NIRS) can noninvasively measure cerebral saturation in oxygen, that permits to estimate brain oxygenation and metabolism. This technique could be incorporated into a multimodal monitoring for severely brain-injured patients. This review presents the principles of NIRS, its limits, the main results from clinical studies and its perspectives. More clinical studies are needed before recommending the routine use of NIRS in the ICU.

摘要

近红外光谱技术(NIRS)能够无创测量大脑的氧饱和度,从而有助于评估脑氧合和代谢情况。该技术可纳入对重症脑损伤患者的多模式监测中。本文综述了NIRS的原理、局限性、临床研究的主要结果及其前景。在推荐在重症监护病房常规使用NIRS之前,还需要更多的临床研究。

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1
[Near infrared spectroscopy monitoring in the neurointensive care].[神经重症监护中的近红外光谱监测]
Ann Fr Anesth Reanim. 2012 Jun;31(6):e133-6. doi: 10.1016/j.annfar.2012.04.017. Epub 2012 Jun 7.
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Cerebral near-infrared spectroscopy in adult patients after cardiac surgery is not useful for monitoring absolute values but may reflect trends in venous oxygenation under clinical conditions.心脏手术后成年患者的脑近红外光谱分析对监测绝对值并无用处,但可能反映临床条件下静脉氧合的变化趋势。
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