心血管外科围手术期的神经监测  

Perioperative neuromonitoring in cardiovascular surgery

作　　者：吴松华 吴振华 齐玉娟 WU Song-hua;WU Zhen-hua;QI Yu-juan(Department of Cardiovascular Surgery Intensive Care Unit,Tianjin Institute of Cardiovascular Disease,Tianjin Key Laboratory of Cardiovascular Emergency and Critical Care,Chest Hospital,Tianjin University,Tianjin 300222,China)

机构地区：[1]天津大学胸科医院心血管外科重症监护病房、天津市心血管病研究所天津市心血管急危重症重点实验室,300222

出　　处：《中国现代神经疾病杂志》2024年第1期27-31,共5页Chinese Journal of Contemporary Neurology and Neurosurgery

基　　金：天津市卫生健康科技项目(项目编号:ZC20147)。

摘　　要：心血管外科手术神经系统并发症风险较高,可加重疾病负担,围手术期实时监测神经功能可辅助临床医师尽早发现神经系统异常,及时干预并降低神经系统并发症风险,其主要监测指标包括脑氧饱和度、脑电信号、脑血流量等。本文综述心血管外科围手术期常用的神经监测技术及其研究进展,以为减少神经系统并发症、提高患者预后提供理论依据。Cardiovascular surgery has a high risk of neurological complications,which can increase the burden of disease.Perioperative real-time monitoring of neurological function in cardiovascular surgery can assist clinicians to detect neurological abnormalities as early as possible,intervene and reduce the risk of neurological complications in time.The main monitoring indicators include cerebral oxygen saturation(ScO_2),EEG,cerebral blood flow(CBF),etc.In this paper,the common perioperative neuromonitoring techniques and their research advances in cardiovascular surgery are reviewed to provide theoretical basis for reducing neurological complications and improve the prognosis of patients.

关 键 词：心血管外科手术 围手术期 谱学 傅里叶变换红外 脑电描记术 诱发电位 超声检查 多普勒 经颅 综述 

分 类 号：R654[医药卫生—外科学]