围术期成人脑血流监测方法的研究进展  

Research progress of perioperative cerebral blood flow monitoring methods in adults

作　　者：周学华 李玉凤 沈霞 ZHOU Xue-hua;LI Yu-feng;SHEN Xia(Department of Anesthesiology,Eye and ENT Hospital,Fudan University,Shanghai 200031,China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院麻醉科,上海200031

出　　处：《复旦学报（医学版）》2022年第4期620-627,共8页Fudan University Journal of Medical Sciences

基　　金：复旦大学附属眼耳鼻喉科医院双优计划A类项目(SYA202010)。

摘　　要：大脑氧供取决于相对稳定和充足的脑血流,以此来维持正常的脑功能。在围术期进行脑血流监测可以防止缺血性或高灌注性脑损伤,从而促进患者术后康复。目前临床上使用的很多监测脑血流方法,各有优势以及局限性,尚无一种完美的监测手段。本文就目前围术期一些常用以及新出现的成人脑血流监测方法,结合其出现的时间、原理、临床应用进展以及相应的优缺点进行综述。Normal brain function is maintained by the supply of cerebral oxygen which depends on the constant and adequate cerebral blood flow.Either ischemic or hyper-perfusion brain injury can be prevented by monitoring the cerebral blood flow perioperatively,so that to improve recovery for patients postoperatively.Until now,none of the methods is perfect for cerebral blood flow monitoring in clinic.Each has its own advantages and limitations.This article is aimed to review the commonly used and new monitoring methods used for adult patients in terms of the time,principle,clinical application,advantages and limitations.

关 键 词：脑自动调节 脑灌注 脑代谢 脑血氧饱和度 

分 类 号：R614[医药卫生—麻醉学]