[1]李 栩,韩 超,邵菁菁,等.脑氧饱和度在临床麻醉中的研究进展[J].医学信息,2023,36(22):189-192.[doi:10.3969/j.issn.1006-1959.2023.22.044]
　LI Xu,HAN Chao,SHAO Jing-jing,et al.Research Progress of Cerebral Oxygen Saturation in Clinical Anesthesia[J].Journal of Medical Information,2023,36(22):189-192.[doi:10.3969/j.issn.1006-1959.2023.22.044]
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脑氧饱和度在临床麻醉中的研究进展()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年22期
页码:
189-192
栏目:
综述
出版日期:
2023-11-15

文章信息/Info

Title:
Research Progress of Cerebral Oxygen Saturation in Clinical Anesthesia
文章编号:
1006-1959（2023）22-0189-04
作者:
李 栩; 韩 超; 邵菁菁; 等
（天津市泰达医院麻醉科，天津 300457）
Author(s):
LI Xu; HAN Chao; SHAO Jing-jing; et al.
(Department of Anesthesiology,Tianjin Taida Hospital,Tianjin 300457,China)
关键词:
脑氧饱和度; 围术期; 麻醉; 近红外光谱技术; 低血压
Keywords:
Cerebral oxygen saturation; Perioperative period; Anesthesia; Near infrared spectroscopy; Hypotension
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2023.22.044
文献标志码:
A
摘要:
麻醉作为外科手术的基础环节之一，是保障手术顺利实施的重要步骤，但其麻醉药物的应用可影响机体血压水平，导致脑组织缺氧，严重程度下可造成脑组织损伤，对手术安全及患者预后均构成了较大威胁。脑氧饱和度多用于术中大脑缺氧状态的监测，其参数可反映脑细胞的含氧量，为临床手术提供可靠依据，有助于术中吸氧浓度的及时调整，进而预防脑损伤的发生。因此，积极监测患者的围术期脑氧饱和度，是避免术中大脑缺氧的有效方式。目前，脑氧饱和度监测技术在临床麻醉中已获得广泛应用，现本文就rScO2监测技术的原理及其在临床麻醉监测中的影响因素、应用情况作一综述。
Abstract:
Anesthesia, as one of the basic links of surgery, is an important step to ensure the smooth implementation of surgery. However, the application of anesthetic drugs can affect the blood pressure level of the body, lead to hypoxia of brain tissue, and cause brain tissue damage in severe cases, which poses a great threat to the safety of surgery and the prognosis of patients. Cerebral oxygen saturation is mostly used to monitor the hypoxic state of the brain during operation. Its parameters can reflect the oxygen content of brain cells, provide a reliable basis for clinical surgery, and help to adjust the oxygen concentration during operation in time, so as to prevent the occurrence of brain injury. Therefore, active monitoring of the patient’s perioperative cerebral oxygen saturation is an effective way to avoid intraoperative cerebral hypoxia. At present, cerebral oxygen saturation monitoring technology has been widely used in clinical anesthesia. This article reviews the principle of rScO2 monitoring technology and its influencing factors and application in clinical anesthesia monitoring.

参考文献/References:

[1]Schmidt C,Heringlake M,Kellner P,et al.The effects of systemic oxygenation on cerebral oxygen saturation and its relationship to mixed venous oxygen saturation: A prospective observational study comparison of the INVOS and ForeSight Elite cerebral oximeters[J].Can J Anaesth,2018,65(7):766-775.[2]郭云飞,魏雯欣,胡楠楠,等.右美托咪定对腹腔镜肝切除术老年患者脑氧饱和度及术后认知的影响[J].河北医学,2022,28(6):1011-1016.[3]顾伟,顾小萍,殷霞丽.脑氧饱和度目标导向麻醉管理对青少年脊柱侧凸矫形手术唤醒试验的影响[J].中国临床研究,2022,35(5):665-669.[4]杨平平,欧阳川,谢思远,等.七氟烷吸入麻醉诱导期间潮气末二氧化碳分压对室间隔缺损婴儿脑血流动力学的影响[J].心肺血管病杂志,2022,41(5):523-527.[5]王忠,张瑞剑,韩志桐,等.局部脑氧饱和度监测目标导向治疗在老年重度颅脑损伤患者中的应用[J].中华老年多器官疾病杂志,2021,20(10):756-759.[6]王莹,段宗生.术中脑氧饱和度与脑电双频指数联合监测对老年患者胃癌根治术后恢复的影响[J].中华保健医学杂志,2020,22(1):65-68.[7]Benni PB,MacLeod D,Ikeda K,et al.A validation method for near-infrared spectroscopy based tissue oximeters for cerebral and somatic tissue oxygen saturation measurements[J].J Clin Monit Comput,2018,32(2):269-284.[8]王旭,邵换璋,王存真,等.局部脑氧饱和度联合相对α变异性对颅脑损伤患者脑功能预后的早期评估价值[J].中华危重病急救医学,2019(11):1368-1372.[9]傅俊豪,陈妍,杨纯勇,等.丙泊酚麻醉下脑氧供需平衡和大脑自动调节平台及其影响因素的研究[J].陆军军医大学学报,2022,44(18):1845-1855.[10]孙聪,皮晓丽,陈莹,等.术中脑氧饱和度监测对心血管手术患者术后认知功能障碍发生率的影响[J].中国医科大学学报,2018,47(7):631-636.[11]许曦鸣,王磊.局部脑氧饱和度在术后麻醉苏醒期患者意识水平变化中监测价值[J].生物医学工程与临床,2022,26(4):476-480.[12]黄璜,李萌萌,孟令超,等.麻醉诱导后低血压对机体组织氧饱和度的影响[J].北京医学,2022,44(3):249-252.[13]Zhang L,Yu Y,Xue J,et al.Effect of Deliberate Hypotension on Regional Cerebral Oxygen Saturation During Functional Endoscopic Sinus Surgery: A Randomized Controlled Trial[J].Front Surg,2021,8:681471.[14]Tang W,Liu H,Wei P,et al.Decrease in cerebral oxygen saturation and the increase in heart rate is a prewarning window of hypotension after spinal anesthesia for cesarean section: A pilot observational study[J].J Clin Anesth,2021,73:110360.[15]苏秀珠,张燕,王丽萍.贫血患者腹腔镜手术中脑氧饱和度与神经损伤标志物的变化[J].解放军医学院学报,2021,42(1):26-29.[16]吴双,吴师,曾继逾.七氟醚复合麻醉对老年腹腔镜胆囊切除术患者血流动力学及脑氧代谢的影响[J].河北医药,2022,44(17):2644-2646,2650.[17]刘秀兰,李荣华,孙文浩,等.丙泊酚复合依托咪酯麻醉对颈动脉内膜剥脱术患者脑组织氧饱和度、术后认知功能的影响[J].血管与腔内血管外科杂志,2022,8(6):723-728.[18]王雅婷,陆伟峰,方芳,等.全身麻醉和蛛网膜下腔阻滞对老年患者下肢骨科手术后认知功能障碍发生率的影响[J].中国临床医学,2022,29(2):206-212.[19]陈春茹,郑晋伟,孟波,等.腰丛神经阻滞对老年股骨上段手术患者脑氧代谢及术后认知功能的影响[J].浙江医学,2019,41(6):583-586.[20]高燕春,侯冠峰,谢言虎,等.二氧化碳气腹对不同年龄组小儿脑氧饱和度和术后躁动的影响[J].中国现代医学杂志,2020,30(5):119-123.[21]吕誉芳,欧阳川,张冬妮,等.室间隔缺损婴儿麻醉诱导前后脑氧饱和度和脑血流速度的变化及其相关性[J].中国医药,2022,17(7):993-996.[22]萧国凤,吕浩.右美托咪定复合舒芬太尼对老年患者全身麻醉苏醒期脑氧代谢和肝脏功能的保护作用研究[J].中国医院用药评价与分析,2022,22(9):1046-1049.[23]闫婷婷,柴小青,魏昕,等.控制性降压时不同通气策略对沙滩椅体位手术患者脑氧饱和度的影响[J].临床麻醉学杂志,2018,34(6):566-569.[24]王先学,莫洪,潘道波.围麻醉期脑氧饱和度联合BIS监测对老年肠梗阻患者术后谵妄的影响[J].广东医学,2021,42(2):221-225.[25]李茜,昂扬,施敏,等.脑氧饱和度监测对骨科高龄患者术后谵妄的预测价值[J].医学研究生学报,2022,35(10):1059-1063.[26]廖羽,曾加祥,张智豪.局部脑氧饱和度监测在重度脑外伤患者术后管理中的应用效果观察[J].实用医院临床杂志,2021,18(3):90-93.[27]边巴旺堆,赤列,扎西云丹,等.脑氧饱和度监测在高原地区儿童腹腔镜手术中的脑保护作用观察[J].实用临床医药杂志,2021,25(11):58-62.[28]毛建雄,肖东,罗燕,等.近红外光谱技术在测定新生儿坏死性小肠结肠炎脑血氧饱和度和判定肠坏死程度的探讨[J].岭南现代临床外科,2020,20(5):562-566,572.[29]吴昊,张雷,程新琦,赵庆,等.丙泊酚不同镇静深度对体外循环下心脏瓣膜置换术患者术后谵妄的影响:与脑氧饱和度的关系[J].中华麻醉学杂志,2017,37(10):1163-1166.[30]刘畅,薛云星,陈杨,等.脑氧饱和度监测与急性A型主动脉夹层患者术后脑卒中相关性的研究[J].中华心血管病杂志,2022,50(8):761-766.[31]苏孟勤,杨红,钟巍,等.不同麻醉方式对经导管主动脉瓣植入术中患者脑血氧饱和度及神经认知的影响[J].安徽医学,2021,42(3):270-273.

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更新日期/Last Update: 1900-01-01