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利用无线近红外光谱技术估算脑细胞的缺氧状态。

Hypoxic-state estimation of brain cells by using wireless near-infrared spectroscopy.

出版信息

IEEE J Biomed Health Inform. 2014 Jan;18(1):167-73. doi: 10.1109/JBHI.2013.2261310.

Abstract

Near-infrared spectroscopy (NIRS) is a modern measuring technology in neuroscience. It can be used to noninvasively measure the relative concentrations of oxyhemoglobin (OxyHb) and deoxyhemoglobin (DeoHb), which can reflect information related to cerebral blood volume and cerebral oxygen saturation. Therefore, it has the potential for noninvasive monitoring of cerebral ischemia. However, there is still a lack of reliable physiological information on the relationship between the concentrations of OxyHb and DeoHb in cerebral blood and the exact hypoxic state of brain cells under cerebral ischemia. In this study, we describe a wireless multichannel NIRS system, which we designed to noninvasively monitor the relative concentrations of OxyHb and DeoHb in bilateral cerebral blood before, during, and after middle cerebral artery occlusion. By comparing the results with the lactate/pyruvate ratio measured by microdialysis, we investigated the correlation between the relative concentrations of OxyHb and DeoHb in cerebral blood and the hypoxic state of brain cells. The results showed that the relationship between the concentration changes of DeoHb in cerebral blood and the hypoxic state of brain cells was significant. Therefore, by monitoring the changes in concentrations of DeoHb, the wireless NIRS can be used to estimate the hypoxic state of brain cells indirectly.

摘要

近红外光谱(NIRS)是神经科学中的一种现代测量技术。它可用于非侵入式测量氧合血红蛋白(OxyHb)和脱氧血红蛋白(DeoHb)的相对浓度,这些浓度可以反映与脑血容量和脑氧饱和度相关的信息。因此,它具有对脑缺血进行非侵入式监测的潜力。然而,对于脑血液中 OxyHb 和 DeoHb 浓度与脑细胞确切缺氧状态之间的关系,NIRS 仍缺乏可靠的生理学信息。在这项研究中,我们描述了一种无线多通道 NIRS 系统,用于在大脑中动脉闭塞前、中、后非侵入式监测双侧脑血液中的 OxyHb 和 DeoHb 的相对浓度。通过将结果与微透析测量的乳酸/丙酮酸比值进行比较,我们研究了脑血液中 OxyHb 和 DeoHb 相对浓度与脑细胞缺氧状态之间的相关性。结果表明,脑血液中 DeoHb 浓度变化与脑细胞缺氧状态之间存在显著相关性。因此,通过监测 DeoHb 浓度的变化,无线 NIRS 可以用于间接估计脑细胞的缺氧状态。

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