局部脑氧饱和度监测在神经外科麻醉的应用现状

鲁吐 浦拉, 杜健 华1, 排如 合·, 张玉 萍2
新疆医科大学第二附属医院手术麻醉科 乌鲁木齐 830063

摘要

摘要：目的：随着近年来快速康复外科理念的兴起以及对于围术期器官保护理念的越加重视，局部脑氧饱和度监测被许多研究者重视，因局部脑氧饱和度监测具有简单、灵敏、快速、实时、持续的优点，通过计算吸收谱比值，从而得出局部血红蛋白的氧饱和度。近年来有大量有关局部脑氧饱和度在各类手术围术期的应用文献报道，均提示该监测方法能够在减少麻醉药物用量、改善术后认知功能、缩短住院天数、器官保护等方面发挥积极意义，而在神经外科麻醉领域，局部脑氧饱和度并未大规模应用于神经外科手术的麻醉，仅在颅脑创伤手术手术及部分肿瘤手术中有应用，而颅脑手术相较其他手术而言常涉及颅内血管、神经的操作，易引起血流动力学的较大波动，对于涉及颅内血管操作的手术而言，在术中监测局部脑氧饱和度对于改善预后有积极意义。本文结合近年国内外最新研究，介绍局部脑氧饱和度的国内外应用现状，重点关注神经外科手术应用现状以及未来展望，从而为推广其在各类神经外科麻醉过程中的应用，减少神经系统并发症，改善患者预后；为使其在临床工作中发挥更大的作用提供一定的指导。

关键词

局部脑氧饱和度；神经外科麻醉；临床应用

参考

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