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心脏手术中脑氧饱和度测定的应用

Cerebral Oximetry Use For Cardiac Surgery.

作者信息

Raza Syed Shahmeer, Ullah Farhan, Savage Edward Bruce

机构信息

The Robert and Suzanne Tomsich Department of Cardiothoracic Surgery, Cleveland Clinic Florida, Weston, Florida, USA.

Khyber Medical College, Peshawar, Pakistan.

出版信息

J Ayub Med Coll Abbottabad. 2017 Apr-Jun;29(2):335-339.

Abstract

BACKGROUND

Studies have shown maintaining good cerebral perfusion during Cardiac Surgeries is very important in terms of patient outcomes and reducing the hospital stay, which may have its financial and clinical implications. The aim of this review study was to determine the effectiveness of Cerebral Oximetry (Transcranial Near-Infrared Spectroscopy-NIRS to monitor cerebral oxygenation) for Cardiac Surgery and to propose a possible concluding remark about its potential applications, overall clinical value and whether to keep using it or not.

METHODS

Medical database and archives including Pubmed, Embase, index medicus, index copernicus and Medline were searched. Different papers were looked upon and each had an argument, scientific evidence and background. Fifteen research papers were selected and brought under review after carefully consideration.

RESULTS

The papers were carefully reviewed and findings were given in favour of not using NIRS technique for Cerebral Oximetry in Cardiac Surgery.

CONCLUSIONS

This can rightly be concluded from this study that NIRS Cerebral Oximetry does not carry the clinical significance and relevance which was previously thought. The subject under observation needs further studies and research to evaluate the effectiveness of the Cerebral Oximetry Use for Cardiac Surgery.

摘要

背景

研究表明,在心脏手术期间维持良好的脑灌注对于患者预后和缩短住院时间非常重要,这可能具有经济和临床意义。本综述研究的目的是确定脑氧饱和度监测(经颅近红外光谱技术-NIRS用于监测脑氧合)在心脏手术中的有效性,并对其潜在应用、总体临床价值以及是否继续使用提出可能的结论。

方法

检索了包括PubMed、Embase、医学索引、哥白尼索引和Medline在内的医学数据库和档案。查阅了不同的论文,每篇论文都有论点、科学证据和背景。经过仔细考虑,选择了15篇研究论文进行综述。

结果

对这些论文进行了仔细审查,结果表明不支持在心脏手术中使用NIRS技术进行脑氧饱和度监测。

结论

从这项研究可以合理地得出结论,NIRS脑氧饱和度监测不具有先前认为的临床意义和相关性。观察对象需要进一步的研究来评估脑氧饱和度监测在心脏手术中的有效性。

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