CAJ | 학술논문

背景近红外光谱技术(near-infrared spectroscopy,NIRS)是一种能够穿透颅外组织检测脑组织血氧饱和度(regional cerebral oxygen saturation,rSO2)的技术,具有无创、连续、实时的特点. 目的综述NIRS在成年人心脏外科手术脑功能监测中的应用研究进展,为其在临床研究及实践中的应用提供参考. 内容分别从心脏外科手术预后评估、术中干预指导及术前风险评估等方面综述近年病例报道、观察性研究及实验性研究结果,分析各研究间存在的争议及其原因. 趋向 NIRS在心脏外科围手术期监测中拥有广泛的应用前景,但尚需更多高质量的证据指导临床实践应用.
배경 근홍외광보기술(near-infrared spectroscopy,NIRS)시일충능구천투로외조직검측뇌조직혈양포화도(regional cerebral oxygen saturation,rSO2)적기술,구유무창、련속、실시적특점. 목적 종술NIRS재성년인심장외과수술뇌공능감측중적응용연구진전,위기재림상연구급실천중적응용제공삼고. 내용 분별종심장외과수술예후평고、술중간예지도급술전풍험평고등방면종술근년병례보도、관찰성연구급실험성연구결과,분석각연구간존재적쟁의급기원인. 추향 NIRS재심장외과위수술기감측중옹유엄범적응용전경,단상수경다고질량적증거지도림상실천응용.
Background Near-infrared spectroscopy (NIRS) can detect the regional cerebral oxygen saturation (rSO2) penetrating the extra-cranial organization,which has such features as of being non-invasive,continuous and real-time.Objective The paper reviews the research progress of the application of NIRS technology to brain function monitoring in the adult cardiac surgery,and provide practical guidance for clinical anesthetists.Content From the aspects of prognostic evaluation,intraoperative intervention guidance and preoperative risk stratification,we reviewed recent case reports,observation studies and experimental studies,as well as existing dispute and its possible reasons.Trend NIRS has broad application prospects in cardiac surgery perioperative monitoring,while in terms of specific clinical guidance,more high-level evidences are needed.