Bailey Sean M, Hendricks-Munoz Karen D, Mally Pradeep
Division of Neonatology, Department of Pediatrics, New York University School of Medicine, NYU Langone Medical Center/Bellevue Hospital, New York.
Division of Neonatal Medicine, Department of Pediatrics, Virginia Commonwealth University School of Medicine, Critical Care Hospital, Richmond, Virginia.
Am J Perinatol. 2014 Apr;31(4):339-44. doi: 10.1055/s-0033-1349894. Epub 2013 Jul 19.
To determine cerebral regional tissue oxygen saturation (CrSO2), renal regional tissue oxygen saturation (RrSO2), and splanchnic regional tissue oxygen saturation (SrSO2) values in healthy term infants.
Near-infrared spectroscopy was used to simultaneously measure CrSO2, RrSO2, and SrSO2 continuously for a 1-hour period on the first and second days of life.
A total of 41 subjects were monitored out of which complete data were available for 38 subjects. Mean CrSO2 was 78.2 ± 7.9% on first day; 78.3 ± 6.1% on second day (p = 0.95). Mean RrSO2 was 92.1 ± 5.3% on first day; 88.9 ± 5.9% on second day (p < 0.01). Mean SrSO2 was 69.9 ± 12.1% on first day and 75.3 ± 12.4% on second day (p = 0.02).
There appears to be consistency in rSO2 values in healthy newborns. CrSO2 was similar on both days. Differences observed in RrSO2 and SrSO2 between days may represent a shift in somatic blood flow distribution taking place during the first day of life.
测定健康足月儿的脑局部组织氧饱和度(CrSO2)、肾局部组织氧饱和度(RrSO2)和内脏局部组织氧饱和度(SrSO2)值。
采用近红外光谱法在出生第一天和第二天连续1小时同时测量CrSO2、RrSO2和SrSO2。
共监测41名受试者,其中38名受试者有完整数据。第一天平均CrSO2为78.2±7.9%;第二天为78.3±6.1%(p = 0.95)。第一天平均RrSO2为92.1±5.3%;第二天为88.9±5.9%(p < 0.01)。第一天平均SrSO2为69.9±12.1%,第二天为75.3±12.4%(p = 0.02)。
健康新生儿的rSO2值似乎具有一致性。两天的CrSO2相似。两天间RrSO2和SrSO2的差异可能代表出生第一天体循环血流分布的变化。