Center for Global Health Research, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, Tamil Nadu, India.
Neurosurg Rev. 2024 Jul 31;47(1):378. doi: 10.1007/s10143-024-02628-1.
The meta-analysis by Shen et al. in Neurosurgical Review highlights the benefits of brain tissue oxygen partial pressure (PbtO) monitoring in reducing mortality and intracranial pressure in severe traumatic brain injury (TBI) patients. However, it also associates PbtO monitoring with prolonged hospital stays. Future research should focus on standardizing PbtO protocols, integrating with advanced neuroimaging, exploring long-term outcomes, evaluating combination therapies, and conducting cost-benefit analyses. Addressing these areas could further enhance the clinical application and efficacy of PbtO monitoring in improving patient outcomes.
沈等人在《神经外科评论》上进行的荟萃分析强调了脑组织氧分压（PbtO）监测在降低严重创伤性脑损伤（TBI）患者死亡率和颅内压方面的益处。然而，它也将 PbtO 监测与延长住院时间联系起来。未来的研究应集中在标准化 PbtO 方案、与先进的神经影像学相结合、探索长期结果、评估联合治疗以及进行成本效益分析上。解决这些问题可以进一步提高 PbtO 监测在改善患者预后方面的临床应用和效果。
