Sood Beena G, McLaughlin Kathleen, Cortez Josef
Division of Neonatal-Perinatal Medicine, Department of Pediatrics, Wayne State University, Children's Hospital of Michigan, Detroit, MI, USA; Hutzel Women's Hospital, Detroit, MI, USA.
Hutzel Women's Hospital, Detroit, MI, USA.
Semin Fetal Neonatal Med. 2015 Jun;20(3):164-72. doi: 10.1016/j.siny.2015.03.008. Epub 2015 Apr 29.
Near-infrared spectroscopy (NIRS) offers non-invasive, in-vivo, real-time monitoring of tissue oxygenation. Changes in regional tissue oxygenation as detected by NIRS may reflect the delicate balance between oxygen delivery and consumption. Originally used predominantly to assess cerebral oxygenation and perfusion perioperatively during cardiac and neurosurgery, and following head trauma, NIRS has gained widespread popularity in many clinical settings in all age groups including neonates. However, more studies are required to establish the ability of NIRS monitoring to improve patient outcomes, especially in neonates. This review provides a comprehensive description of the use of NIRS in neonates.
近红外光谱(NIRS)可对组织氧合进行无创、体内实时监测。NIRS检测到的局部组织氧合变化可能反映了氧输送与消耗之间的微妙平衡。NIRS最初主要用于评估心脏手术和神经外科手术围手术期以及头部创伤后的脑氧合和灌注情况,如今在包括新生儿在内的所有年龄组的许多临床环境中都已广泛应用。然而,需要更多研究来确定NIRS监测改善患者预后的能力,尤其是在新生儿中。本综述全面描述了NIRS在新生儿中的应用。