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近红外光谱在心脏术后的应用进展

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在心脏重症监护病房中,准确评估组织的氧合状态对于降低发病率和病死率至关重要.目前,临床主要依赖混合静脉氧饱和度、心输出量及血气分析等有创性手段评估患者的氧合情况.然而,传统的监测方法往往受干扰因素较多,并不准确.近红外光谱(near-infrared spectroscopy,NIRS)技术的出现提供了新的解决方案.作为一种连续、无创的监测方法,NIRS能够准确评估局部组织的氧饱和度,为心脏重症监护提供新视角.这项技术不仅广泛应用于心脏手术中的脑血氧饱和度监测,还成功应用于肾脏和骨骼肌的血氧饱和度监测.本研究将对NIRS在心脏外科术后脑、肾脏和骨骼肌血氧监测中的应用情况进行综述,通过早期评估病情,帮助临床医生更准确判断患者的氧合状态,从而制定更为有效的治疗方案.
Application of near-infrared spectroscopy in postoperative cardiac surgery
In the cardiac intensive care unit,the accurate assessment of tissue oxygenation holds paramount importance in mitigating morbidity and mortality rates.Currently,clinical practice predominantly relies on invasive techniques,such as mixed venous oxygen saturation,cardiac output and blood gas analysis,for evaluating patient oxygenation.However,these traditional monitoring methods are frequently hindered by various interfering factors,resulting in limited accuracy.The advent of near-infrared spectroscopy(NIRS)technology offers a new solution.As a continuous and noninvasive monitoring modality,NIRS accurately assesses the oxygen saturation of local tissues,providing a fresh perspective in cardiac intensive care.This technology has found widespread application in monitoring cerebral oxygen saturation during cardiac surgery,while also demonstrating successful implementation in renal and skeletal muscle oxygen saturation monitoring.This article aims to comprehensively review the utilization of NIRS in the postoperative monitoring of oxygen saturation in the brain,kidney and skeletal muscle following cardiac surgery.By enabling early condition assessment,NIRS technology serves as a robust guidance tool to assist the doctors in precisely evaluating patient oxygenation status and devising more effective treatment strategies.

Near-infrared spectroscopyPostoperative cardiac surgeryLocal oxygen saturationBrainKidneySkeletal muscle

李辰、周炜、朱峰

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200120 上海,同济大学附属东方医院重症医学科

近红外光谱 心脏外科术后 局部氧饱和度 肾脏 骨骼肌

2025

中国急救医学
中国医师协会,黑龙江省科学技术情报研究所

中国急救医学

影响因子:1.868
ISSN:1002-1949
年,卷(期):2025.45(1)