近红外光谱技术在创伤性脑损伤患者颅内出血检测中的应用：一项系统评价。
Near-infrared spectroscopy for intracranial hemorrhage detection in traumatic brain injury patients: A systematic review.
机构信息
Department of Biomedical Sciences, Nazarbayev University School of Medicine (NUSOM), Nur-Sultan, Kazakhstan.
School of Engineering and Digital Sciences, Nazarbayev University, Nur-Sultan, Kazakhstan.
出版信息
Am J Emerg Med. 2021 Dec;50:758-764. doi: 10.1016/j.ajem.2021.09.070. Epub 2021 Oct 3.
PURPOSE
To synthesize evidence of the use of near-infrared spectroscopy (NIRS) to detect intracranial hemorrhage in traumatic brain injury (TBI) patients.
METHODS
The literature search was conducted in PubMed and Google Scholar (from inception to July 2021).
RESULTS
216 original articles were found, 197 of which were omitted, and the final review contained 19 original articles covering 2291 patients.
CONCLUSION
For patients with TBI, a NIRS test may be useful as a screening tool for intracranial hemorrhage, especially at the prehospital level. Negative results may help rule out intracranial hemorrhage and may remove the need for more head computed tomography (CT) scanning. Prehospital testing may guide the decision of whether the patient should be transferred to a craniotomy-equipped specialized hospital. NIRS can also be useful in situations when CT is not available. For future research, a significant objective is to show whether the effects of NIRS can improve outcomes and lead to meaningful improvements in clinical practice and decision making.
目的
综合近红外光谱（NIRS）在创伤性脑损伤（TBI）患者颅内出血检测中的应用证据。
方法
在 PubMed 和 Google Scholar 中进行文献检索（从创建到 2021 年 7 月）。
结果
共发现 216 篇原始文章，其中 197 篇被排除，最终综述包含 19 篇原始文章，共涉及 2291 名患者。
结论
对于 TBI 患者，NIRS 测试可能可用作颅内出血的筛查工具，特别是在院前水平。阴性结果可能有助于排除颅内出血，并可能无需进行更多头部 CT（计算机断层扫描）扫描。院前检测可指导是否将患者转至配备开颅手术的专科医院的决策。在 CT 不可用时，NIRS 也可能有用。未来的研究目标是明确 NIRS 的效果是否能改善预后，并在临床实践和决策制定方面带来有意义的改进。
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