近红外光谱在婴幼儿心脏手术围术期的应用及研究进展  

Perioperative near-infrared spectrophotometry monitoring in pediatric cardiac surgery

作　　者：章燕(综述) 周荣华(审校)[1] Zhang Yan;Zhou Ronghua(Department of Anesthesiology,West China Hospital of Sichuan University,Chengdu,Sichuan,610041,China)

机构地区：[1]四川大学华西医院麻醉科,成都610041

出　　处：《中国体外循环杂志》2021年第1期56-60,64,共6页Chinese Journal of Extracorporeal Circulation

摘　　要：近红外光谱(NIRS)技术,作为一个连续、实时、无创的监测手段,已越来越多地应用于婴幼儿心脏手术的围术期,以监测脑、肾等重要脏器的局部组织氧饱和度,反应组织灌注及氧供需平衡,在指导围术期管理、降低婴幼儿心脏术后并发症和死亡率中具有一定的价值。本文回顾近年相关临床研究,介绍NIRS的基本原理、影响因素、基础值和临界值,并对NIRS在婴幼儿心脏手术围术期的应用进行综述,旨在探讨NIRS在婴幼儿心脏手术围术期的临床价值及应用前景,为其进一步的临床研究及应用提供指导依据。Near-infrared spectroscopy(NIRS),as a continuous,real-time,and noninvasive monitoring method,has been increasingly applied in the perioperative period of pediatric cardiac surgery.It is a valuable approach to guide perioperative management and reduce postoperative complications and mortality in pediatric patients by detecting regional oxygen saturation in multiple organs(brain,kidney,e.g.)and further reflecting tissue perfusion and oxygen balance.By reviewing related clinical research in recent years,this narrative review is to provide a brief overview of NIRS technology and its influencing factors,and to discuss the normative and critical values of cerebral and somatic tissue oxygen saturation.By presenting the clinical studies of NIRS as a perioperative monitoring method in the pediatric cardiac surgery,we want to introduce the clinical value and prospects of this technology,and then provide guidance for its further clinical research and application.

关 键 词：近红外光谱技术 婴幼儿 心脏手术 脑氧饱和度 心肺转流 

分 类 号：R72[医药卫生—儿科]